Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY MAE LUMMUS
ActiveSHELLY MAE LUMMUS is a Community Health Worker healthcare provider located in EMMETT, Idaho. NPI 1619707676 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · EMMETT, ID
Registration Details
- NPI Number
- 1619707676
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2024 (2.0651186925966 yrs)
- Last Updated
- Aug 5, 2024
- License
-
THW000111135 (OR)
Practice Information
- Address
-
207 E 12TH STEMMETT, ID, 836173626Browse ID providers · Browse ZIP 83617
- Phone
- 2083651065
- Fax
- 2083651065
- Primary Specialty
-
Community Health Worker
172V00000X
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.