Individual
LINDA C SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
OGDEN REGIONAL MEDICAL CENTER, 5475 S 500 E, OGDEN, UT 84405-6905
(800) 830-3566
(801) 432-2670
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
83435
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
7126878-4406
UT
367500000X
Certified Registered Nurse Anesthetist
APRN11001789
FL
Other
Enumeration date
12/16/2018
Last updated
10/06/2023
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