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NPI Code Detail

MEDICARE: ANDREA C SHELTON DNP, APRN, CNM

MEDICARE: ANDREA C SHELTON DNP, APRN, CNM
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
1163W00000XRegistered Nurse60899352WA
2367A00000XAdvanced Practice Midwife209025064IL
3367A00000XAdvanced Practice Midwife269205AZ

General Provider Information

NPI Number : 1053933069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA C SHELTON DNP, APRN, CNM
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 04/06/2026

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