Individual
MRS. SHELA BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, MSN, RN
Contact information
Practice address
800 FAIRWAY DR, DEERFIELD BEACH, FL 33441-1828
(954) 606-5217
(888) 503-1690
Mailing address
658 SW DALTON CIR, PORT SAINT LUCIE, FL 34953-5813
(772) 626-5937
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024189534
VA
363LA2200X
Adult Health Nurse Practitioner
10007556
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9236018
FL
363LA2200X
Adult Health Nurse Practitioner
GAA-NP000009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9236018
STATE LICENSE
FL
Enumeration date
06/13/2013
Last updated
01/08/2025
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