Individual
JANICE ELIZABETH EKBERG-SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0655
Mailing address
2195 WESTOVER DR, CHARLOTTESVILLE, VA 22901-9503
(434) 812-1008
(434) 823-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001072985
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024072985
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938229
—
VA
Enumeration date
12/08/2005
Last updated
12/10/2013
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