Individual
ALEXIS SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
904 EASTWIND DR, WESTERVILLE, OH 43081-3329
(614) 890-1914
Mailing address
3608 MAKASSAR DR, WESTERVILLE, OH 43081-4027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
379650
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA 14570
OH
Other
Enumeration date
10/29/2013
Last updated
02/19/2014
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