Provider Demographics
NPI:1033650593
Name:HOPKINS, SHELLEY IRENE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:IRENE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-1944
Mailing Address - Country:US
Mailing Address - Phone:616-232-2915
Mailing Address - Fax:616-835-9101
Practice Address - Street 1:203 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-1944
Practice Address - Country:US
Practice Address - Phone:616-232-2915
Practice Address - Fax:616-835-9101
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704255837163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator