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Contact Information

MARY E SHELLHOUSE, CRNP
115 MEDICAL PARK DRIVE
ANDALUSIA, AL36420
 Phone: 334-222-5781
 Fax: 334-222-5794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for MARY E SHELLHOUSE · (Female)

NPI Number 1639143837
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/14/2006
Last updated 10/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-097517
  • AL Medicaid 891010000
Hospital affiliation(s)
  • ANDALUSIA REGIONAL HOSPITAL - (Acute Care)
    849 SOUTH THREE NOTCH STREET
    ANDALUSIA, AL 36420
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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