Shellie Dean Graves
Nurse Practitioner - Primary Care
23181 Verdugo Dr Ste 103a
Laguna Hills
, California 92653-1313
Shellie Dean Graves
Nurse Practitioner - Primary Care
23181 Verdugo Dr Ste 103a
Laguna Hills
, California 92653-1313
(800) 964-7710
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Shellie Dean Graves
- 23181 Verdugo Dr Ste 103a
- Laguna Hills, CA
- Zip : 92653-1313
- Phone : (800) 964-7710
Second Address
- Shellie Dean Graves
- 23181 Verdugo Dr Ste 103a
- Laguna Hills, CA
- Zip : 92653-1313
- Phone : (800) 964-7710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | NP95011932 | CA |
National Provider Identifier
| NPI | 1043869738 |
|---|---|
| Provider Name | Shellie Dean Graves |
| First Address | Laguna Hills, CA 92653-1313 |
| Second Address | Laguna Hills, CA 92653-1313 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2019 |
| Last Update Date | 13/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.