Provider Demographics
NPI:1952505026
Name:ROSS, SHIRLEY RENEE (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHIRLEY
Middle Name:RENEE
Last Name:ROSS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:2300 MCDERMOTT RD
Mailing Address - Street 2:SUITE 200-246
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-7016
Mailing Address - Country:US
Mailing Address - Phone:972-423-1800
Mailing Address - Fax:972-424-8731
Practice Address - Street 1:705 ASHLEY PL
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3730
Practice Address - Country:US
Practice Address - Phone:973-423-1800
Practice Address - Fax:972-424-8731
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX006639163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health