MRS. SHELLEY N MULROONEY (NPI# 1164683827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164683827 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY N MULROONEY |
| Credential | PA-C |
| Practice Address |
1335 Cordova Cove Dermatology East Germantown TN 38138 |
| Mailing Address |
1335 Cordova Cv Dermatology East Germantown TN 38138-2200 |
| Practice Telephone | 9017532794 |
| Practice Fax Number | 9017538876 |
| Mailing Telephone | 9017532794 |
| Mailing Fax Number | 9017538876 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2212 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1335 CORDOVA COVE DERMATOLOGY EAST |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1467823682 | West Clinic, P.C. | Physician Assistant | 7714 Poplar Ave Ste 200, Germantown, TN 38138-3941 | 2015-10-14 |
| 1003095571 | Marnie Bernard | Physician Assistant | 19777 Frederick Rd, Germantown, MD 20876-1307 | 2007-10-31 |
| 1043413891 | Dermatology East,p.l.l.c. | Physician Assistant | Dermatology East,p.l.l.c. 1335 Cordova Cv, Germantown, TN 38138 | 2007-06-08 |
| 1679611909 | Nils M. Brownworth | Physician Assistant | 20412 Sunbright Ln, Germantown, MD 20874-1087 | 2007-02-01 |
| 1811503196 | Cody Mitchell Hastings | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-22 |
| 1457809352 | Samuel David Grafton | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2016-09-20 |
| 1396299400 | Suzanne Ray Margello | Physician Assistant | 8060 Wolf River Blvd, Germantown, TN 38138 | 2016-08-05 |
| 1285083717 | Corey Robinson | Physician Assistant | 7675 Wolf River Cir Ste 202, Germantown, TN 38138 | 2016-06-06 |
| 1265890099 | Stephanie Garfinkle | Physician Assistant | 19735 Germantown Rd, Suite 100, Germantown, MD 20874-1214 | 2016-02-08 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MRS. SHELLEY N MULROONEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.