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Individual
STACEY SHELTON
Active
Individual
STACEY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9266322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013900000
—
FL
01
—
ARNP9266322
FL DOH
FL
01
—
L2312
MEDICARE
FL
01
—
Y0P75
BCBS
FL
Enumeration date
07/30/2014
Last updated
08/28/2020
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