Womack, Shelley A

Womack, Shelley A is an individual health care provider with primary practice located at 472 Kaulana St , Kahului HI 96732-2050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Womack, Shelley A can be contacted via phone (808) 871-9240.

Contact Information

Primary practice address
472 Kaulana St Kahului HI 96732-2050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-129 Hawaii

Profile Details

NPI number 1295881092
LBN Legal business name Womack, Shelley A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 3rd, 2010 - about 16 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 1295881092 NPPES
Hawaii Other 0000224550 HMSA BILLING NUMBER
Hawaii MEDICAID 55018801 HMSA BILLING NUMBER

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