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Individual
SHELLEY ELIZABETH AMEDURI
Active
Individual
SHELLEY ELIZABETH AMEDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
832591
NV
363LF0000X
Family Nurse Practitioner
832591
NV
363LF0000X
Family Nurse Practitioner
95017026
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
832591
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95017026
CA
Other
Enumeration date
07/20/2020
Last updated
05/18/2022
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