Doctor Name: | ELIZABETH ANNE SHELTON |
NPI Number: | 1023099629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3004643 |
Business Practice Address: | 913 N Dixie Ave Elizabethtown, KY - 427012503 |
Business Phone Number: | 2707371212 |
Business Fax Number: | |
Mailing Address: | 913 N Dixie Ave, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427012503 |
Phone Number: | 2707371212 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3004643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |