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Individual

SHELLY PAVLU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP-APRN

Contact information

Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
PO BOX 345, NESS CITY, KS 67560-0345
(785) 798-5663

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80372
KS
363LS0200X
School Nurse Practitioner
13-84474
KS

Other

Enumeration date
02/25/2020
Last updated
10/06/2021
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