Provider Demographics
NPI:1316373491
Name:HITES, SHELBY K (CRNP)
Entity Type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:K
Last Name:HITES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:K
Other - Last Name:WALTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2616 WILMINGTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1530
Mailing Address - Country:US
Mailing Address - Phone:724-652-2323
Mailing Address - Fax:724-654-3461
Practice Address - Street 1:2616 WILMINGTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1530
Practice Address - Country:US
Practice Address - Phone:724-652-2323
Practice Address - Fax:724-654-3461
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013121363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health