Individual
SHELBY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704346577
MI
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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