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Organization
SHOLLY NURSING INC
Active
Organization
SHOLLY NURSING INC
Active
Other names
Sholly Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA SHARDIL NP (CEO)
(949) 229-1789
Entity
Organization
Contact information
Practice address
26662 CUENCA DR, MISSION VIEJO, CA 92691-6216
(949) 229-1789
Mailing address
26662 CUENCA DR, MISSION VIEJO, CA 92691-6216
(949) 229-1789
(949) 864-1641
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
02/27/2026
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