Provider Demographics
NPI:1164317673
Name:SHIRLEY, MARIA (APRN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SHIRLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SE 18TH AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8241
Mailing Address - Country:US
Mailing Address - Phone:352-229-4271
Mailing Address - Fax:
Practice Address - Street 1:1850 SE 18TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8240
Practice Address - Country:US
Practice Address - Phone:352-229-4271
Practice Address - Fax:352-229-4271
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06250691363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily