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NPI Code Detail

MEDICARE: MISS CYNTHIA ELIZABETH SHELTON WHNP

MEDICARE: MISS CYNTHIA ELIZABETH SHELTON WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0101XAmbulatory Women's Health Care Registered Nurse658676TX
2363LW0102XWomen's Health Nurse PractitionerAP1655AZ
3163W00000XRegistered NurseRN120707AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN120707OTHERAZAZ STATE BOARD OF NURSING
2AP1655OTHERAZNURSE PRACTITIONER

General Provider Information

NPI Number : 1245263680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CYNTHIA ELIZABETH SHELTON WHNP
Provider Business Mailing Address
First Line : 1008 E MCDOWELL RD STE A
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2603
Country : US
Telephone Number : 602-358-8588
Fax Number : 602-688-6991
Provider Business Practice Location Address
First Line : 1151 N GILBERT RD
Second Line :
City : MESA
State : AZ
Zip : 85203-5127
Country : US
Telephone Number : 602-352-8588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 05/06/2026

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