Individual
MRS. SHELLY SMITH LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2605 GAULT AVE N STE 200, FORT PAYNE, AL 35967-3700
(256) 979-1550
(256) 979-1576
Mailing address
2605 GAULT AVE N STE 200, FORT PAYNE, AL 35967-3700
(256) 979-1550
(256) 979-1576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
FL01180189
AL
Other
Enumeration date
02/20/2018
Last updated
02/18/2021
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