Individual
SHELLEY PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1003 SPRING ST, PETOSKEY, MI 49770-2810
(231) 347-9692
(231) 348-1908
Mailing address
1101 EMMET ST, PETOSKEY, MI 49770-2963
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704191984
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237007756
—
MI
Enumeration date
06/24/2005
Last updated
02/14/2012
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