Provider Demographics
NPI:1104092386
Name:SCHELIN, TOBI SHELTON (ARNP)
Entity type:Individual
Prefix:
First Name:TOBI
Middle Name:SHELTON
Last Name:SCHELIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 BIMINI DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34949-1530
Mailing Address - Country:US
Mailing Address - Phone:772-332-0120
Mailing Address - Fax:772-462-7841
Practice Address - Street 1:1301 BELL AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-6544
Practice Address - Country:US
Practice Address - Phone:772-468-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL857742363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL857742OtherADVANCED PRACTICE REGISTERED NURSE LICENSE NUMBER 857742