Individual
TREVOR LEE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8940 KINGSRIDGE DR STE 106, DAYTON, OH 45458-1632
(937) 813-4485
(937) 813-4576
Mailing address
8940 KINGSRIDGE DR STE 106, DAYTON, OH 45458-1632
(937) 813-4485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
453039
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0037170
OH
Other
Enumeration date
07/25/2024
Last updated
02/11/2026
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