Individual
MS. LYDIA CLARE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
800 HIGHWAY 71 E, SMITHVILLE, TX 78957-1730
(512) 237-5744
Mailing address
PO BOX 355, RED ROCK, TX 78662-0355
(830) 839-4018
(830) 839-4078
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
548483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
548483
RN LICENSE NUMBER
TX
Enumeration date
04/23/2007
Last updated
07/08/2007
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