Shelly, Lisa

Shelly, Lisa is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Shelly, Lisa can be contacted via phone (491) 251-4283.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (491) 251-4283
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN.CNP.03100 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP.03100 Ohio

Profile Details

NPI number 1619368594
LBN Legal business name Shelly, Lisa
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2015
Last updated Apr 14th, 2025 - about last year

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 1619368594 NPPES
Ohio MEDICAID 0122109

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