Lummus, Shelly Rebecca
Lummus, Shelly Rebecca is an individual health care provider with primary practice located at 3505 Cadillac Ave Building O Suite 110, Costa Mesa CA 92626-1429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lummus, Shelly Rebecca can be contacted via phone (714) 755-1160.Contact Information
Primary practice address
3505 Cadillac Ave Building O Suite 110
Costa Mesa CA 92626-1429
Phone: (714) 755-1160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 417062 | California |
Profile Details
| NPI number | 1649474545 |
|---|---|
| LBN Legal business name | Lummus, Shelly Rebecca |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649474545 | NPPES |
| California | Other | 9198 | NURSE PRACTITIONER CERTIF |
| California | Other | RN 417062 | NURSE PRACTITIONER CERTIF |
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