Individual
SHELLEY WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2471 CENTENNIAL DR, WASHINGTON, IL 61571-1066
(309) 717-9197
Mailing address
1404 W CLAREWOOD AVE, PEORIA, IL 61614-5816
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041.159658
IL
163WH0200X
Home Health Registered Nurse
Primary
041159658
IL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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