NPI 1124334065
Tina L Shelledy, LPN
Practice location
- Address
- 7301 N 58th Ave, Glendale, AZ 85301-1893
- Phone
- (626) 237-4810
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1124334065
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Aug 2010
- Record last updated
- 30 Aug 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.