MEDICARE: MS. SHELLY E KRAMER 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
1	207Q00000X	Family Medicine Physician	ARNP1963182	FL

General Provider Information

NPI Number	:	1386743722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHELLY E KRAMER ARNP

Provider Business Mailing Address
First Line	:	2101 CHAGALL CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7527
Country	:	US
Telephone Number	:	561-478-9286
Fax Number	:

Provider Business Practice Location Address
First Line	:	4671 S CONGRESS AVE
Second Line	:	SUITE 100-A
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4783
Country	:	US
Telephone Number	:	561-641-9490
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	09/16/2009

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