Wall, Shelby M

Wall, Shelby M is an individual health care provider with primary practice located at 600 Gresham Dr Fl 5 , Norfolk VA 23507-1904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wall, Shelby M can be contacted via phone (757) 388-3198.

Contact Information

Primary practice address
600 Gresham Dr Fl 5 Norfolk VA 23507-1904
Phone: (757) 388-3198
Fax: (757) 388-4242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024175445 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024175445 Virginia

Profile Details

NPI number 1366951717
LBN Legal business name Wall, Shelby M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Feb 6th, 2020 - about 6 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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