Organization
SHELLEY SPEED ACNP-C PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY SPEED ACNP-C (OWNER)
(214) 384-6591
Entity
Organization
Contact information
Practice address
1310 HOLLYWOOD AVE, DALLAS, TX 75208-7725
(214) 384-6591
Mailing address
1310 HOLLYWOOD AVE, DALLAS, TX 75208-7725
(214) 384-6591
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2012
Last updated
06/29/2012
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