Shellman, Laura

Shellman, Laura is an individual health care provider with primary practice located at 910 16Th Ave Ste 120 , Longview WA 98632-2374. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shellman, Laura can be contacted via phone (360) 200-5419.

Contact Information

Primary practice address
910 16Th Ave Ste 120 Longview WA 98632-2374
Phone: (360) 200-5419
Fax: (360) 200-6736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 68788 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R38040 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61091547 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61091547 Washington

Profile Details

NPI number 1891040812
LBN Legal business name Shellman, Laura
Credentials PMHNP-BC, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Sep 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891040812 NPPES
Washington MEDICAID 2165567

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