Shelley, Glenda

Shelley, Glenda is an sole proprietor health care provider with primary practice located at 3710 Lenwood Dr , Amarillo TX 79109-4614. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Shelley, Glenda can be contacted via phone (806) 352-1159.

Contact Information

Primary practice address
3710 Lenwood Dr Amarillo TX 79109-4614
Phone: (806) 352-1159
Fax: (806) 352-1159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 135801 Texas

Profile Details

NPI number 1689881179
LBN Legal business name Shelley, Glenda
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1689881179 NPPES
Texas MEDICAID 1002412

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