Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY DIANE, CNS
Active Sole ProprietorSHELLEY DIANE, CNS is a Pediatric Nurse healthcare provider located in FAIRFAX, California. NPI 1073827739 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · FAIRFAX, CA
Registration Details
- NPI Number
- 1073827739
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2010 (15.839588798231 yrs)
- Last Updated
- Aug 4, 2010
- License
-
468075 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 SHEMRAN CTFAIRFAX, CA, 949301321Browse CA providers · Browse ZIP 94930
- Phone
- 4157210120
- Fax
- 4153531076
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.