Black, Shelby Lynn
Black, Shelby Lynn is an sole proprietor health care provider with primary practice located at 1216 Ryans Rd , Worthington MN 56187-1780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Shelby Lynn can be contacted via phone (507) 372-6400.Contact Information
Primary practice address
1216 Ryans Rd
Worthington MN 56187-1780
Phone: (507) 372-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2464149 | Minnesota |
Profile Details
| NPI number | 1811640121 |
|---|---|
| LBN Legal business name | Black, Shelby Lynn |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2022 |
| Last updated | Jul 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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