Individual
MR. STEPHEN ALAN SHELLHAAS
Active
Individual
MR. STEPHEN ALAN SHELLHAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
05240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05240
NP PEDIATRIC PRESCRIBER
OH
01
—
19990118
CERT PEDIATRIC NP
OH
05
—
2156705
—
OH
01
—
267228
RN LICENSE
OH
Enumeration date
08/27/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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