| NPI | 1962926832 |
|---|---|
| Doing Business As | ISLAND DERMNURSE |
| Doing Business As | SHELLIE NORMAN, APRN |
| Entity Type | Organization |
| Authorized Contact | SHELLIE RENEE NORMAN Owner/Provider 808-339-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1841) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |