Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | APN.0000203 | CO |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP8203 | AZ |
NPI | 1164836565 |
---|---|
Provider Name | Karen Shelton |
First Address | Tucson, AZ 85701-1713 |
Second Address | Tucson, AZ 85711-1066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 16/02/2018 |