Individual
SHELLY NESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 N. 41 DR., PHOENIX, AZ 85029
(602) 299-8981
Mailing address
11616 N. 41 DR., PHOENIX, AZ 85029
(602) 299-8981
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0045
AZ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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