Individual
SHELLY R CARTWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3707 DOTY RD STE D, WOODSTOCK, IL 60098
(815) 338-6600
(815) 206-2802
Mailing address
3707 DOTY RD STE D, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 206-2802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012776
IL
363LF0000X
Family Nurse Practitioner
209012776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041405084
RN LICENSE NUMBER
IL
01
—
209012776
APN LICENSE
IL
Enumeration date
04/20/2015
Last updated
05/05/2021
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