Individual
MS. SHELLEY A. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
702 SW RAMSEY AVE, SUITE 120, GRANTS PASS, OR 97527-5858
(541) 476-3000
(541) 479-5101
Mailing address
702 SW RAMSEY AVE, SUITE 120, GRANTS PASS, OR 97527-5858
(541) 476-3000
(541) 479-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201404163NP-PP
OR
Other
Enumeration date
08/27/2007
Last updated
12/04/2014
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