Individual
SHELLEY LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
214 MIDDLE GRAVE CREEK ROAD, MOUNDSVILLE, WV 26041-0508
(304) 843-4400
(304) 843-5095
Mailing address
PO BOX 508, MOUNDSVILLE, WV 26041-0508
(304) 843-4400
(304) 843-5095
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
83393
WV
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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