Elise Z Shalloway, APRN,BC
Registered Nurse, Psych/Mental Health, Adult in Riviera Beach, FL. Individual provider (NPI-1).
NPI number1619994415
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619994415
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elise Z Shalloway
- Credential
- APRN,BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | R101317 | MD | Yes |
Practice location
7305 N Military Trl116/Mhc
Riviera Beach, FL 33410-7417
Phone 561-422-6574
Mailing address
7305 N Military Trl116/Mhc
Riviera Beach, FL 33410-7417
Phone 561-422-6574
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