Individual
MRS. SHELLY VROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12496 E 150TH ST, ORION, IL 61273-9243
(097) 367-4633
Mailing address
12496 E 150TH ST, ORION, IL 61273-9243
(097) 367-4633
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.015626
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209015626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016024304
ANCC
IL
05
—
209015626
—
IL
Enumeration date
03/02/2017
Last updated
06/29/2023
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