MEDICARE: SHELBY NEAL APRN

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
1	363LF0000X	Family Nurse Practitioner	217205	AR

General Provider Information

NPI Number	:	1124788492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY NEAL APRN

Provider Business Mailing Address
First Line	:	10720 MAGNOLIA HWY
Second Line	:
City	:	MAGNOLIA
State	:	AR
Zip	:	71753-5004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 THOMPSON AVE STE A
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4464
Country	:	US
Telephone Number	:	870-864-8010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2021
Last Update Date	:	11/20/2024

Similar Medicare Providers

1053275263 — KELSEY NUTT APRN, FNP-C
Practice Location Address:

815 THOMPSON AVE STE A
EL DORADO, AR
71730-4464

Practice Phone: 870-864-8010
Practice Fax:

1598978801 — SOUTH AR SURGICAL CLINIC OF EL DORADO, INC
Practice Location Address:

815 THOMPSON AVE
EL DORADO, AR
71730-4464

Practice Phone: 870-862-3411
Practice Fax:

1316952401 — WALGREEN CO
Practice Location Address:

12390 EDGEMERE BLVD
EL PASO, TX
79938-4464

Practice Phone: 915-849-6849
Practice Fax: 915-849-6764

1699002436 — DR. THOMAS PAUL SMITH PHARMD
Practice Location Address:

12390 EDGEMERE BLVD
EL PASO, TX
79938-4464

Practice Phone: 915-849-6849
Practice Fax: 915-849-6764

1902233166 — MR. MATTHEW A SASAKI PHARM.D.
Practice Location Address:

12390 EDGEMERE BLVD
EL PASO, TX
79938-4464

Practice Phone: 915-849-6849
Practice Fax:

1629485123 — JUDITH ONYANGO
Practice Location Address:

12390 EDGEMERE BLVD
EL PASO, TX
79938-4464

Practice Phone: 915-849-6849
Practice Fax: 915-849-6764

Directions to “ SHELBY NEAL APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.