Individual
ANGELA R SHELINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 MIAMISBURG CENTERVILLE RD STE 211, DAYTON, OH 45459-3704
(937) 350-6700
(937) 716-2375
Mailing address
3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9285
(937) 399-7777
(937) 399-6794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
021959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380554
—
OH
Enumeration date
01/29/2018
Last updated
11/23/2020
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