Individual
ANDREA BETHANY SHELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
15145 LINCOLN HWY, VAN WERT, OH 45891-9619
(419) 313-3536
Mailing address
06083 IOOF RD, SPENCERVILLE, OH 45887-9373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.022578
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP022578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14280374
FAMILY
OH
05
—
14280374
—
OH
Enumeration date
09/01/2017
Last updated
01/11/2023
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