Tina L Shelledy, LPN
Licensed Practical Nurse in Glendale, AZ. Individual provider (NPI-1).
NPI number1124334065
StatusActive
Last updated in NPPESAug 30, 2010
Details
- NPI
- 1124334065
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tina L Shelledy
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2010
- Last updated
- Aug 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP046759 | AZ | Yes |
Practice location
7301 N 58th AveGlendale, AZ 85301-1893
Phone 626-237-4810
Mailing address
7301 N 58th AveGlendale, AZ 85301-1893
Phone 626-237-4810
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All 84 Licensed Practical Nurse providers in Glendale · All 7,642 providers in Glendale
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