Provider Demographics
NPI:1942840293
Name:ZEHM, SHELLY (RN)
Entity Type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:
Last Name:ZEHM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-1244
Mailing Address - Country:US
Mailing Address - Phone:509-548-5885
Mailing Address - Fax:
Practice Address - Street 1:330 EVANS ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1244
Practice Address - Country:US
Practice Address - Phone:509-548-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN000132239163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool