Oma L Shelton CFNP

NPI 1083679104 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083679104
Gender Female
Enumeration Date 04/20/2006
Last Updated 07/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2230 S SPRINGFIELD AVE
SUITE H-J
BOLIVAR MO, 65613-9133, US
Phone (417) 777-4800
Fax
Business Location
P.O. BOX 939
BOLIVAR MO, 65613-0939, US
Phone (417) 777-4800
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 080074
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According to our database, Oma L Shelton CFNP NPI is 1083679104, taxonomy code is 363LF0000X and license number is 080074, license state is located at Missouri. Oma L Shelton CFNP physically located at 2230 S Springfield Ave, Bolivar MO, 65613-9133. NPI Number Oma L Shelton CFNP has the Individual type.

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1083679104 NPI number is provided on an as is basis without warranty of any kind. 1083679104 is maintained by the National Plan & Provider Enumeration System. The contents of Oma L Shelton CFNP are for informational purposes only.