Individual
CAROL M SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1004 WINSCOTT RD, BENBROOK, TX 76126-2776
(817) 249-0111
(817) 249-0110
Mailing address
1004 WINSCOTT RD, BENBROOK, TX 76126-2776
(817) 249-0111
(817) 249-0110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP109447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181567204
—
TX
Enumeration date
08/04/2005
Last updated
03/21/2017
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