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NPI Code Detail

MEDICARE: SHELBY REID ANDERSON APRN

MEDICARE:   SHELBY REID ANDERSON  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
1163W00000XRegistered Nurse9463752FL
2363LF0000XFamily Nurse Practitioner11043090FL

General Provider Information

NPI Number : 1972380210
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY REID ANDERSON APRN
Provider Business Mailing Address
First Line : 6189 FOSTER ST
Second Line :
City : JUPITER
State : FL
Zip : 33458-6619
Country : US
Telephone Number : 561-281-2837
Fax Number :
Provider Business Practice Location Address
First Line : 1210 S OLD DIXIE HWY
Second Line :
City : JUPITER
State : FL
Zip : 33458-7205
Country : US
Telephone Number : 561-263-2234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 02/11/2026

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Directions to “ SHELBY REID ANDERSON APRN” Practice Location

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