Provider Demographics
NPI:1548696750
Name:SHELTON, DEBBIE E (RN)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:E
Last Name:SHELTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:E
Other - Last Name:BOCKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3237 MUSTANG WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-6127
Mailing Address - Country:US
Mailing Address - Phone:760-727-6252
Mailing Address - Fax:
Practice Address - Street 1:3237 MUSTANG WAY
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-6127
Practice Address - Country:US
Practice Address - Phone:760-727-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN313536374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula