Individual
CHRISTIE DELORIS SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
12000-33
WI
363LG0600X
Gerontology Nurse Practitioner
AG10180092
OK
Other
Enumeration date
10/12/2018
Last updated
06/23/2022
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