Shelton, Fallon Page

Shelton, Fallon Page is an individual health care provider with primary practice located at 3912 W Bay Villa Ave , Tampa FL 33611-1222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shelton, Fallon Page can be contacted via phone (727) 249-7676.

Contact Information

Primary practice address
3912 W Bay Villa Ave Tampa FL 33611-1222
Phone: (727) 249-7676
Fax: (833) 500-1422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11023017 Florida

Profile Details

NPI number 1720797301
LBN Legal business name Shelton, Fallon Page
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2022
Last updated Nov 2nd, 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 1720797301 NPPES
Florida MEDICAID 116748700

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