Provider Demographics
NPI:1003917493
Name:NAUMAN, SHELLEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:
Last Name:NAUMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:DIANE
Other - Last Name:PEGON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20807 ROSE CROSSING LANE
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:281-379-1199
Mailing Address - Fax:
Practice Address - Street 1:3115 COLLEGE PARK DR
Practice Address - Street 2:SUITE 104
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:936-321-5030
Practice Address - Fax:936-271-5033
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX630872163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics