Shelby, Debra Michelle

Shelby, Debra Michelle is an sole proprietor health care provider with primary practice located at 13908 Lakeshore Blvd Ste 240 , Hudson FL 34667-1492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shelby, Debra Michelle can be contacted via phone (727) 868-1312.

Contact Information

Primary practice address
13908 Lakeshore Blvd Ste 240 Hudson FL 34667-1492
Phone: (727) 868-1312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2218012 Florida

Profile Details

NPI number 1245306026
LBN Legal business name Shelby, Debra Michelle
Credentials DNP, ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2006
Last updated Mar 13th, 2017 - about 7 years 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 1245306026 NPPES
Florida Other P00135877 RR MEDICARE

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