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Individual
SHELLY MARIE WHALEY
Active
Individual
SHELLY MARIE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-093346
AL
363L00000X
Nurse Practitioner
Primary
1-093346
AL
Other
Enumeration date
11/22/2019
Last updated
01/12/2022
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