Provider Demographics
NPI:1609408830
Name:BUGGY, SHELBY A (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:A
Last Name:BUGGY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:A
Other - Last Name:SEYMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7501 E MCDOWELL RD APT 3011
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3570
Mailing Address - Country:US
Mailing Address - Phone:480-340-8610
Mailing Address - Fax:
Practice Address - Street 1:14672 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2043
Practice Address - Country:US
Practice Address - Phone:480-661-2936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ235378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily