Provider Demographics
NPI:1831979210
Name:WILLIAMS, SHELBIE NICHOLE (FNP)
Entity type:Individual
Prefix:
First Name:SHELBIE
Middle Name:NICHOLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20477 W DELANEY DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-1720
Mailing Address - Country:US
Mailing Address - Phone:602-819-7883
Mailing Address - Fax:
Practice Address - Street 1:20477 W DELANEY DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-1720
Practice Address - Country:US
Practice Address - Phone:602-819-7883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care