Individual
MRS. SHELBY M SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3024 NEW BERN AVE, SUITE 60, RALEIGH, NC 27610-1247
(919) 345-6874
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
164926
NC
363LA2200X
Adult Health Nurse Practitioner
5003239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LA2200X
—
NC
05
—
363LC1500X
—
NC
Enumeration date
06/05/2010
Last updated
10/25/2022
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