Shelley A Boone, RN
Individual provider Active NPI Registered Nurse · Sheldon, IA
NPI 1104944065 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104944065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 052515 (IA)
- Practice address
- 1022 3Rd Ave
Sheldon, IA 51201-1561 - Phone
- (712) 324-3263
- Fax
- (712) 324-8388
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052515 | IA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Mental Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 052515 | IA | Yes |
Addresses
Primary practice location
1022 3Rd Ave
Sheldon, IA 51201-1561
Mailing address
201 E 11TH St
Spencer, IA 51301-4436
Phone (712) 262-2922
Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.