Provider Demographics
NPI:1578970216
Name:DONZE, SHELBIE GERKEN (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:SHELBIE
Middle Name:GERKEN
Last Name:DONZE
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:SHELBIE
Other - Middle Name:RENEE
Other - Last Name:GERKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGPCNP-BC
Mailing Address - Street 1:810 SHONEY DR SW
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5436
Mailing Address - Country:US
Mailing Address - Phone:256-429-9779
Mailing Address - Fax:256-489-9568
Practice Address - Street 1:810 SHONEY DR SW
Practice Address - Street 2:SUITE 105
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5436
Practice Address - Country:US
Practice Address - Phone:256-429-9779
Practice Address - Fax:256-489-9568
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-116167363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology