SHELLY C. CRADER APRN - NPI 1790140150 - Nurse Practitioner in Wichita, KS

Q: What is Shelly Crader's NPI number?

The NPI number for Shelly Crader is 1790140150. It was assigned to this individual provider in the NPPES registry on December 29, 2015. The provider is also known as Shelly C. Dark Aprn.

Q: What is Shelly Crader's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Crader was last updated on December 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shelly C. Crader Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY C. CRADER APRN (NPI 1790140150) is an individual nurse practitioner in Wichita, Kansas, licensed in Kansas (53-77054) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1790140150

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELLY C. CRADERCredential: APRN

Location Address2318 E CENTRAL AVEWichita, KS 67214-4436

Mailing Address2318 E Central AveWichita, KS 67214-4436 · (316) 262-3611 · Fax (316) 262-0318

Phone(316) 262-3611

Fax(316) 262-0318

Sole ProprietorYes

Enumeration DateDecember 29, 2015

✔ NPI 1790140150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KS · 53-77054

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2318 E CENTRAL AVE, Wichita, KS 67214

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Other Names 1

Former Name (1)Shelly C. Dark Aprn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUBSTANCE ABUSE AT HUNTER HEALTH CLINIC

Clinic/Center (Federally Qualified Health Center (FQHC))