MEDICARE: SHELBY MORGAN WEBER CRNP

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	1-148394	AL

General Provider Information

NPI Number	:	1912544701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY MORGAN WEBER CRNP

Provider Business Mailing Address
First Line	:	8489 SHEFFIELD DR
Second Line	:
City	:	MORRIS
State	:	AL
Zip	:	35116-1118
Country	:	US
Telephone Number	:	850-375-4518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 GADSDEN HWY STE 108
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-4201
Country	:	US
Telephone Number	:	205-655-1016
Fax Number	:

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

Provider Enumeration Date	:	11/29/2019
Last Update Date	:	04/16/2026

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