Healthcare Provider Details

I. General information

NPI: 1114831138
Provider Name (Legal Business Name): SHELBY MOHR MATHER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 BOBWHITE RD
ROYAL PALM BEACH FL
33411-1718
US

IV. Provider business mailing address

231 BOBWHITE RD
ROYAL PALM BEACH FL
33411-1718
US

V. Phone/Fax

Practice location:
  • Phone: 561-324-9079
  • Fax:
Mailing address:
  • Phone: 561-324-9079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: