Scaff, Shelley Anne

Scaff, Shelley Anne is an sole proprietor health care provider with primary practice located at 1001 Main St Ste 300 , Peoria IL 61606-2036. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Scaff, Shelley Anne can be contacted via phone (309) 495-0250.

Contact Information

Primary practice address
1001 Main St Ste 300 Peoria IL 61606-2036
Phone: (309) 495-0250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 277001255 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 277001255 Illinois

Profile Details

NPI number 1801148416
LBN Legal business name Scaff, Shelley Anne
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2012
Last updated Jun 27th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801148416 NPPES
Illinois MEDICAID 20900985

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