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Individual
MRS. SHELLEY C WALDMAN
Active
Individual
MRS. SHELLEY C WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007715
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100263340
—
KY
Enumeration date
10/15/2013
Last updated
01/03/2020
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