Individual
SHELLY SUE ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4235
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4235
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1520505
IA
163WC1600X
Continuing Education/Staff Development Registered Nurse
123908
IA
163WE0003X
Emergency Registered Nurse
Primary
123908
IA
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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