Most Relevant Information
Provider Data
| NPI Number: | 1003547944 |
| Provider Name: | SHELBY LYNN WHALEY |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 041.502886 |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 06/21/2022 |
Provider Practice Location
1028 SW ADAMS ST UNIT 310
PEORIA
IL
616021667
Practice Location Phone/Fax
| Phone: | 6186701592 |
| Fax: |
Provider Mailing Location
1028 SW ADAMS ST UNIT 310
PEORIA
IL
616021667
Provider Mailing Phone/Fax
| Phone: | 6186701592 |
| Fax: |