Provider Demographics
NPI:1386089118
Name:CLOPP, SHELIA DIANNE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:DIANNE
Last Name:CLOPP
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:SHELIA
Other - Middle Name:DIANNE
Other - Last Name:VENABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:717 PRATT AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3645
Mailing Address - Country:US
Mailing Address - Phone:256-533-1268
Mailing Address - Fax:
Practice Address - Street 1:717 PRATT AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3645
Practice Address - Country:US
Practice Address - Phone:256-533-1268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-055305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily