Woodley, Shelley B.
Woodley, Shelley B. is an individual health care provider with primary practice located at 5207 Hickory Park Dr Suite A, Glen Allen VA 23059-2624. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodley, Shelley B. can be contacted via phone (804) 997-8938.Contact Information
Primary practice address
5207 Hickory Park Dr Suite A
Glen Allen VA 23059-2624
Phone: (804) 997-8938
Fax: (804) 762-7102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024166485 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024166485 | Virginia |
Profile Details
| NPI number | 1477543387 |
|---|---|
| LBN Legal business name | Woodley, Shelley B. |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477543387 | NPPES |
| Virginia | Other | C06778 | GROUP PTAN |
| Virginia | MEDICAID | 010197562 | GROUP PTAN |
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