Individual
SHELLEY MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2660 10TH AVE S, #610, BIRMINGHAM, AL 35205-1605
(205) 933-2691
(205) 933-2350
Mailing address
2660 10TH AVE S, #610, BIRMINGHAM, AL 35205-1605
(205) 933-2691
(205) 933-2350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-111866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-111866
RN LICENSE NUMBER
AL
05
—
1538255922
—
AL
01
—
5465
CRNP RX NUMBER
AL
Enumeration date
03/11/2016
Last updated
07/11/2016
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