Williams, Shelley R

Williams, Shelley R is an individual health care provider with primary practice located at 1707 W Charleston Blvd Suite 200, Las Vegas NV 89102-2351. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Williams, Shelley R can be contacted via phone (702) 671-6469.

Contact Information

Primary practice address
1707 W Charleston Blvd Suite 200 Las Vegas NV 89102-2351
Fax: (702) 671-5090
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN31640 Nevada

Profile Details

NPI number 1528331063
LBN Legal business name Williams, Shelley R
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Feb 23rd, 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 1528331063 NPPES
Other 20910538 CERTIFIED DIABETES EDUCATOR

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