Provider Demographics
NPI:1861635526
Name:BEST, SHELBA RICHELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHELBA
Middle Name:RICHELLE
Last Name:BEST
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:SHELBA
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4231 BRANCH BEND LN APT I
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3945
Mailing Address - Country:US
Mailing Address - Phone:704-232-7795
Mailing Address - Fax:
Practice Address - Street 1:4231 BRANCH BEND LN APT I
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3945
Practice Address - Country:US
Practice Address - Phone:704-232-7795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6094183700000X
246RP1900X, 343900000X, 347C00000X, 172A00000X
NY284360164W00000X
NC74622164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No183700000XPharmacy Service ProvidersPharmacy Technician
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC74622Medicaid