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Shelley Bideau
NPI 1538641493 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1845 Campbell Ave
Prescott, AZ 86301 - Phone
- (925) 717-3276
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona