Individual
SHELLEY LEANN TINNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4710
Mailing address
11551 N 900 W, DEMOTTE, IN 46310-8235
(219) 405-4675
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28234971A
IN
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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