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NPI Code Detail

MEDICARE: MS. SHELBY DOSSI FNP-C

MEDICARE: MS. SHELBY DOSSI FNP-C
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
1363LF0000XFamily Nurse PractitionerAP5462AZ

General Provider Information

NPI Number : 1831515642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELBY DOSSI FNP-C
Provider Business Mailing Address
First Line : 4600 E WASHINGTON ST STE 300
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-1908
Country : US
Telephone Number : 602-772-3942
Fax Number :
Provider Business Practice Location Address
First Line : 4600 E WASHINGTON ST STE 300
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-1908
Country : US
Telephone Number : 602-772-3942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 05/28/2016

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Directions to “ MS. SHELBY DOSSI FNP-C” Practice Location

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