Shelley, Sandra D

Shelley, Sandra D is an individual health care provider with primary practice located at 3911 Highway 17 # B , Murrells Inlet SC 29576-5014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shelley, Sandra D can be contacted via phone (843) 651-8211.

Contact Information

Primary practice address
3911 Highway 17 # B Murrells Inlet SC 29576-5014
Phone: (843) 651-8211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 18465 South Carolina

Profile Details

NPI number 1790848364
LBN Legal business name Shelley, Sandra D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 15th, 2008 - about 16 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 1790848364 NPPES
South Carolina Other P00395317 RR MEDICARE
South Carolina Other 204185222 RR MEDICARE
South Carolina Other 204185222 RR MEDICARE
South Carolina MEDICAID GP4376 RR MEDICARE
South Carolina MEDICAID AN0060 RR MEDICARE
South Carolina Other DE5998 RR MEDICARE

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