Individual
MRS. WENDY SHIPES SHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 DAY RD, ASHFORD, AL 36312-4374
(334) 791-2883
Mailing address
611 DAY RD, ASHFORD, AL 36312-4374
(334) 791-2883
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
1-096245
AL
171M00000X
Case Manager/Care Coordinator
1-096245
AL
3747P1801X
Personal Care Attendant
1-096245
AL
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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