Individual
MS. MARILYN JEAN SHELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 HOSPITAL AVE STE 105, DU BOIS, PA 15801-1463
(814) 375-3890
(814) 375-3893
Mailing address
145 HOSPITAL AVE STE 105, DU BOIS, PA 15801-1463
(814) 375-3890
(814) 375-3893
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN502579L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN502579L
REGISTERED NURSE
PA
Enumeration date
07/29/2020
Last updated
07/29/2020
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