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Individual

SHELLY MARIE WHALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3316 US - 280 E, ALEXANDER CITY, AL 35010
(256) 329-7100
Mailing address
9758 COOSA COUNTY ROAD 40, ROCKFORD, AL 35136-4106
(256) 794-0222

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-093346
AL
363L00000X
Nurse Practitioner
Primary
1-093346
AL

Other

Enumeration date
11/22/2019
Last updated
01/12/2022
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