Shelley, Christina L
Shelley, Christina L is an individual health care provider with primary practice located at 635 East Baseline Road , Phoenix AZ 85042-6551. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shelley, Christina L can be contacted via phone (602) 243-7277.Contact Information
Primary practice address
635 East Baseline Road
Phoenix AZ 85042-6551
Phone: (602) 243-7277
Fax: (602) 243-1235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP1152 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN054780 | Arizona |
Nursing Service Providers / Registered Nurse | 163W00000X | RN054780 | Arizona |
Profile Details
NPI number | 1194724732 |
---|---|
LBN Legal business name | Shelley, Christina L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Dec 21st, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194724732 | NPPES |
Arizona | MEDICAID | 546343 |
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