# THERESA MARIE SHELTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013689488
- **Gender:** F
- **Credential:** NNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | NUR-APRN-LIC-177258 | MT | Yes |

## Other

- **Enumeration date:** 10/04/2021
- **Last updated:** 10/04/2021