Individual
NATHANIEL DUPREE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-8158
Mailing address
19100 BABROF DR, EAGLE RIVER, AK 99577-8677
(520) 440-6283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN166753
AZ
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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