Provider Demographics
NPI:1912533282
Name:KURZ, SHELBY (BSN, RN, NC-BC)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:KURZ
Suffix:
Gender:F
Credentials:BSN, RN, NC-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17520 PORT HOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3087
Mailing Address - Country:US
Mailing Address - Phone:512-661-8631
Mailing Address - Fax:
Practice Address - Street 1:17520 PORT HOOD DR
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3087
Practice Address - Country:US
Practice Address - Phone:512-661-8631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX851431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse