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NPI Code Detail

MEDICARE: MRS. MELISSA LENORE SHELLEY PA

MEDICARE:  MRS. MELISSA LENORE SHELLEY  PA
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
1363AM0700XMedical Physician AssistantPA1055NV

General Provider Information

NPI Number : 1548274764
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA LENORE SHELLEY PA
Provider Business Mailing Address
First Line : 75 PRINGLE WAY
Second Line : #401
City : RENO
State : NV
Zip : 89502-1464
Country : US
Telephone Number : 775-688-8000
Fax Number : 775-785-5119
Provider Business Practice Location Address
First Line : 645 N ARLINGTON AVE STE 555
Second Line :
City : RENO
State : NV
Zip : 89503-4452
Country : US
Telephone Number : 775-770-7622
Fax Number : 775-770-3683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 02/11/2019

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Directions to “ MRS. MELISSA LENORE SHELLEY PA” Practice Location

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