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Individual
SHELBY CHIMIAK
Active
Individual
SHELBY CHIMIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F04210481
AANP
PA
01
—
RN661177
PENNSYLVANIA STATE BOARD OF NURSING
PA
01
—
SP023988
PENNSYLVANIA STATE BOARD OF NURSING
PA
Enumeration date
06/11/2021
Last updated
08/25/2021
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