Individual
SHELBY ELIZABETH LINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11854 HILL RD, ROCKFORD, OH 45882-8800
(419) 605-6106
Mailing address
11854 HILL RD, ROCKFORD, OH 45882-8800
(419) 605-6106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0035631
OH
363LF0000X
Family Nurse Practitioner
71014899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103831873
ANTHEM PTAN
IN
05
—
300088705
—
IN
Enumeration date
01/09/2024
Last updated
02/13/2025
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