Shelby Marie Collier

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Slippery Rock, PA

NPI 1770030140 · NPPES record last updated Dec 21, 2016

Key facts

NPI
1770030140
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
100 Parklane Dr
Slippery Rock, PA 16057-1132
Phone
(727) 488-9758
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

100 Parklane Dr
Slippery Rock, PA 16057-1132

Mailing address

100 Parklane Dr
Slippery Rock, PA 16057-1132

Other providers in Slippery Rock, PA

All providers in Slippery Rock, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.