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Shelby Brenneman
Student in an Organized Health Care Education/Training Program in Palm Harbor, Florida
NPI 1194200394

Shelby Brenneman is a Student in an Organized Health Care Education/Training Program based in Palm Harbor, FL. Shelby Brenneman practices in Palm Harbor, FL. The NPI Number for Shelby Brenneman is 1194200394 and holds a License No. (Florida).

The current practice location address for Shelby Brenneman is 31918 Us Highway 19 N, Palm Harbor, FL and can be reached out via phone at 727-207-0508.

Location: 31918 Us Highway 19 N, Palm Harbor, FL, 34682-0021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194200394
Provider Name
Shelby Brenneman
Credential
Provider Entity Type
Individual
Gender
Female
Address
31918 Us Highway 19 N, Palm Harbor, FL, 34682-0021
Phone Number
727-207-0508
Fax Number
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024840000 05 FL
institution
Provider Business Practice Location Address Details
Address
31918 Us Highway 19 N
City
Palm Harbor
State
Florida
Zip
34684-3730
Phone Number
727-207-0508
Fax Number
person
Provider Business Mailing Address Details
Address
31918 Us Highway 19 N
City
Palm Harbor
State
Florida
Zip
34684-3730
Phone Number
727-207-0508
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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