Individual
MRS. SHELLY JEANNE NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1270 SW WILLIAM AVE, CHEHALIS, WA 98532-4730
(360) 748-8814
(925) 364-2279
Mailing address
112 MINES RD, WINLOCK, WA 98596-9539
(360) 520-4795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005011
WA
363LX0106X
Occupational Health Nurse Practitioner
AP30005011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9623976
—
WA
Enumeration date
11/22/2005
Last updated
01/04/2015
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