Doctor Name: | SHELLI ELAINE CONYERS-VOTAW |
NPI Number: | 1114052701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3245P |
Business Practice Address: | 710 Walter Reed Rd. Burgin, KY - 40310 |
Business Phone Number: | 8592397012 |
Business Fax Number: | |
Mailing Address: | 225 Spears Ln, DANVILLE |
State: | KY |
Postal Code: | 404228618 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3245P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |