| NPI | 1841681798 |
|---|---|
| Former Name | SHELLY NORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7718) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN123587) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2019-07-22 |