Individual
MRS. BEVERLY ANN SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN-NURSE
Contact information
Practice address
FORT MCDERMITT WELLNESS CENTER, SUITE 702G, MCDERMITT, NV 98421
(775) 532-8522
(775) 575-2384
Mailing address
155 EISENHOWER AVENUE, 155 EISENHOWER AVENUE, WINNEMUCCA, NV 89445
(775) 304-2081
(775) 575-2384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN15624
NV
Other
Enumeration date
02/15/2016
Last updated
08/28/2020
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