NPI | 1366983504 |
---|---|
Former Name | SHELLI D. NOLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133519) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP133519) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2021-12-07 |