Individual
DR. SHELLIE R NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75-5995 KUAKINI HWY STE 443&445, KAILUA KONA, HI 96740
(808) 323-2608
(808) 885-9793
Mailing address
PO BOX 2279, KAILUA KONA, HI 96745-2279
(808) 323-2608
(808) 885-9793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-1841
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN-1841
APRN LICENSE
HI
Enumeration date
08/01/2014
Last updated
12/05/2018
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