Individual provider · Type 1 NPI
Christie Deloris Shelly, NP
Gerontology Nurse Practitioner · St. Croix Falls, WI
NPI number
1093280349
Active
Practice location
235 E State St
St. Croix Falls, WI 54024-4117
Fax (715) 483-0507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG10180092 (OK) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 12000-33 (WI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093280349
Christie Deloris Shelly, NP's National Provider Identifier is 1093280349, issued on Oct 12, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Croix Falls, WI. The record was last updated on Jun 23, 2022.