Provider Demographics
NPI:1346543402
Name:SHELTON, CAROL A (CRT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:SHELTON
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 DAVIDSON ROAD
Mailing Address - Street 2:CAROL A. SHELTON
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-8831
Mailing Address - Country:US
Mailing Address - Phone:401-225-8523
Mailing Address - Fax:
Practice Address - Street 1:90 DAVIDSON ROAD
Practice Address - Street 2:CAROL A. SHELTON
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-8831
Practice Address - Country:US
Practice Address - Phone:401-225-8523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRCP002072278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care