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Organization

DERMATOLOGY & SKIN CARE BY SHELLY

Active
Other names
Dermatology & Skin Care by Shelly, Dermatology by Shelly
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY LYNN CROSSMAN FNP-C, DCNP (PROVIDER/OWNER)
(928) 499-2915
Entity
Organization

Contact information

Practice address
1598 SUSAN A WILLIAMS WAY, SUITE E, CHINO VALLEY, AZ 86323-5957
(928) 499-2915
(877) 406-3180
Mailing address
PMB PO BOX 416, 1042 WILLOW CREEK RD SUITE A101, PRESCOTT, AZ 86301
(928) 899-4455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/06/2023
Last updated
07/18/2024
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