Individual
LINDA DIANE SHELTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 KNIGHTS BRIDGE DR N, PICKERINGTON, OH 43147-9597
(614) 833-5103
Mailing address
114 KNIGHTS BRIDGE DR N, PICKERINGTON, OH 43147-9597
(614) 833-5103
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN214076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301459
—
OH
05
—
2539533
—
OH
Enumeration date
05/25/2007
Last updated
07/09/2007
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