Individual
SHELEY BUTLER ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NPC
Contact information
Practice address
307 W CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-9335
(910) 814-6296
(910) 814-4065
Mailing address
246 FESTUS RD, COATS, NC 27521-9598
(910) 797-7613
(910) 814-6296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
800135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000136
—
NC
01
—
800135
LICENSE
NC
Enumeration date
10/30/2006
Last updated
01/11/2017
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