Individual
SHELLEY G DIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NEW CASTLE RD, BUTLER, PA 16001-2418
(724) 287-4781
(724) 477-5036
Mailing address
234 1/2 MERIDIAN RD, BUTLER, PA 16001-2847
(724) 287-4781
(724) 477-5036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN201075L
PA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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