Provider Demographics
NPI:1386743722
Name:KRAMER, SHELLY E (ARNP)
Entity type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:E
Last Name:KRAMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:SHELLY
Other - Middle Name:E
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:2101 CHAGALL CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7527
Mailing Address - Country:US
Mailing Address - Phone:561-478-9286
Mailing Address - Fax:
Practice Address - Street 1:4671 S CONGRESS AVE
Practice Address - Street 2:SUITE 100-A
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4783
Practice Address - Country:US
Practice Address - Phone:561-641-9490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1963182207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine