| Doctor Name: | MRS. NICOLE ELAINE SHILEY |
| NPI Number: | 1003119447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA054429 |
| Business Practice Address: | 6301 Grayson Rd Suite 9 Harrisburg, PA - 171113331 |
| Business Phone Number: | 7179205910 |
| Business Fax Number: | 7179205916 |
| Mailing Address: | 6301 Grayson Rd, Suite 9 HARRISBURG |
| State: | PA |
| Postal Code: | 171113331 |
| Phone Number: | 7179205910 |
| Fax Number: | 7179205916 |
| NPI Enumeration Date: | 12/07/2010 |
| NPI Last Update Date: | 08/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA054429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |