Individual
VICTORIA SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6415 PETERS CREEK RD, ROANOKE, VA 24019-4021
(540) 265-5500
Mailing address
5211 MEADOW CREEK DR, ROANOKE, VA 24018-7875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024-035946
VA
Other
Enumeration date
02/03/2006
Last updated
04/24/2008
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