Provider Demographics
NPI:1598087827
Name:MATHERNE, SHELLY LOBELL (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:LOBELL
Last Name:MATHERNE
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Gender:F
Credentials:WHNP
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Mailing Address - Street 1:1216 N VICTOR II BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1382
Mailing Address - Country:US
Mailing Address - Phone:985-702-2229
Mailing Address - Fax:985-384-0329
Practice Address - Street 1:1216 N VICTOR II BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1382
Practice Address - Country:US
Practice Address - Phone:985-702-2229
Practice Address - Fax:985-384-0329
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2015-08-14
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Provider Licenses
StateLicense IDTaxonomies
LARN102935-AP06037363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health