Shelton, Virginia L

Shelton, Virginia L is an individual health care provider with primary practice located at 1509 Dulles Dr , Lafayette LA 70506-3718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shelton, Virginia L can be contacted via phone (337) 408-0797.

Contact Information

Primary practice address
1509 Dulles Dr Lafayette LA 70506-3718
Phone: (337) 408-0797
Fax: (337) 943-0846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5785 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 810668 Mississippi

Profile Details

NPI number 1104811652
LBN Legal business name Shelton, Virginia L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 19th, 2020 - about 5 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 1104811652 NPPES
Mississippi MEDICAID 00122700
Mississippi MEDICAID 3342891

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