MEDICARE: DR. SHELBY K HITES CRNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP013121	PA

General Provider Information

NPI Number	:	1316373491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELBY K HITES CRNP

Provider Business Mailing Address
First Line	:	2616 WILMINGTON RD
Second Line	:	SUITE A
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1530
Country	:	US
Telephone Number	:	724-652-2323
Fax Number	:	724-654-3461

Provider Business Practice Location Address
First Line	:	2616 WILMINGTON RD
Second Line	:	SUITE A
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1530
Country	:	US
Telephone Number	:	724-652-2323
Fax Number	:	724-654-3461

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

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	02/08/2019

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