Mrs Shardai Nichole Shelton, FNP | |
1717 Ala Wai Blvd Apt 1006, Honolulu, HI 96815-1521 | |
(217) 322-8563 | |
Not Available |
Full Name | Mrs Shardai Nichole Shelton |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1717 Ala Wai Blvd Apt 1006, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720549124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN-2667 (Hawaii) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.015712 (Illinois) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Mailing Address | Practice Location Address |
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Mrs Shardai Nichole Shelton, FNP 1717 Ala Wai Blvd Apt 1006, Honolulu, HI 96815-1521 Ph: (217) 322-8563 | Mrs Shardai Nichole Shelton, FNP 1717 Ala Wai Blvd Apt 1006, Honolulu, HI 96815-1521 Ph: (217) 322-8563 |
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