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NPI Code Detail

MEDICARE: SHELBY WARNER ARNP

MEDICARE: SHELBY WARNER ARNP
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
1363LW0102XWomen's Health Nurse Practitioner209.011505IL
2367A00000XAdvanced Practice Midwife209.010926IL
3363LF0000XFamily Nurse PractitionerF03220503IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1370647938OTHERILMOLINA NUMBER

General Provider Information

NPI Number : 1083154033
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY WARNER ARNP
Provider Business Mailing Address
First Line : 1120 N MELVIN ST
Second Line :
City : GIBSON CITY
State : IL
Zip : 60936-1477
Country : US
Telephone Number : 217-784-2579
Fax Number :
Provider Business Practice Location Address
First Line : 227 N MARKET ST
Second Line :
City : PAXTON
State : IL
Zip : 60957-1123
Country : US
Telephone Number : 217-379-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2017
Last Update Date : 06/13/2022

Similar Medicare Providers

1992700595 — GIBSON COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-4864
Practice Fax: 217-379-6494
1104922236 — CELIA A HETHKE RNC, ANP, APN
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-4864
Practice Fax:
1396945960 — GIBSON COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-4864
Practice Fax: 217-379-2604
1053632406 — DR. DONALD PEARSON REESE M.D.
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-4864
Practice Fax:
1477800175 — MRS. KELLI MARIE VAUGHN FNP-BC
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-4864
Practice Fax:
1831742204 — KELLY DAWN COOKE PT, DPT
Practice Location Address:
227 N MARKET ST
PAXTON, IL
60957-1123
Practice Phone: 217-379-2500
Practice Fax: 217-379-2554

Directions to “ SHELBY WARNER ARNP” Practice Location

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