MEDICARE: MRS. NATASHA L SHELTON REGISTERED NURSE

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
1	207R00000X	Internal Medicine Physician	2007031859	MO
2	207RC0000X	Cardiovascular Disease Physician	2025036236	MO

General Provider Information

NPI Number	:	1285248922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATASHA L SHELTON REGISTERED NURSE

Provider Business Mailing Address
First Line	:	734 AUTUMN VALLEY DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-2181
Country	:	US
Telephone Number	:	314-372-5004
Fax Number	:

Provider Business Practice Location Address
First Line	:	734 AUTUMN VALLEY DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-2181
Country	:	US
Telephone Number	:	314-372-5004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	02/20/2026

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