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Individual
DEBORAH LYNN SHELLEY
Active
Individual
DEBORAH LYNN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1978
SC
363L00000X
Nurse Practitioner
600139
NC
363LG0600X
Gerontology Nurse Practitioner
1978
SC
363LG0600X
Gerontology Nurse Practitioner
600139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518930734
—
NC
05
—
NP0978
—
SC
Enumeration date
02/08/2006
Last updated
02/06/2018
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