Individual
AMANDA E SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2196 E WILLIAMS FIELD RD, #116, GILBERT, AZ 85295-0754
(480) 237-1395
(602) 218-4076
Mailing address
2196 E WILLIAMS FIELD RD, #116, GILBERT, AZ 85295-0754
(480) 237-1395
(602) 218-4076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3264
AZ
363A00000X
Physician Assistant
52291
CA
Other
Enumeration date
11/01/2006
Last updated
11/04/2015
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