Individual
MARVIN MITCH SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3701 LOOP RD, BLDG 39, TUSCALOOSA, AL 35404-5015
(205) 562-3700
(205) 562-3769
Mailing address
PO BOX 2190, TUSCALOOSA, AL 35403-2190
(205) 562-3700
(205) 562-3769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-043069
AL
Other
Enumeration date
12/18/2008
Last updated
12/23/2008
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