| NPI | 1801179874 |
|---|---|
| Former Name | LORI ANNE SHELLENBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9251763) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2024-02-08 |