MEDICARE: SHELBY DALGAI RN

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	163WX0200X	Oncology Registered Nurse	281570	AZ

General Provider Information

NPI Number	:	1316827355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY DALGAI RN

Provider Business Mailing Address
First Line	:	5102 E PIEDMONT RD APT 1241
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-8613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5102 E PIEDMONT RD APT 1241
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-8613
Country	:	US
Telephone Number	:	928-600-3512
Fax Number	:

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

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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