MS. SHELLY ANNE FERRARI


Address: 623 N Cullen Ave, Glendora, CA 91741-2124
Phone: 6269639992

MS. SHELLY ANNE FERRARI (NPI# 1255650537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255650537
Entity Type Individual
Full Name MS. SHELLY ANNE FERRARI
Credential FNP
Practice Address 623 N Cullen Ave
Glendora
CA 91741-2124
Practice Telephone 6269639992
Mailing Telephone 6269639992
Enumeration Date 2010-05-25
Last Update Date 2010-05-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
19763 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 623 N CULLEN AVE
City GLENDORA
State CA
Zip Code 91741-2124

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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDORA
Zip Code 91741

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Dataset Information

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.

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