| Shelby Mood, FNP-BC | |
|
500 Damonte Ranch Pkwy Ste 929, Reno, NV 89521-5911 | |
| (775) 841-6123 | |
| Not Available |
| Full Name | Shelby Mood |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 500 Damonte Ranch Pkwy Ste 929, Reno, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962283804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 863564 (Nevada) | Primary |
| Entity Name | Eden Hospice at Carson City LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487051728 PECOS PAC ID: 2860717477 Enrollment ID: O20240712000984 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Mood, FNP-BC Po Box 145, Virginia City, NV 89440-0145 Ph: Not Available | Shelby Mood, FNP-BC 500 Damonte Ranch Pkwy Ste 929, Reno, NV 89521-5911 Ph: (775) 841-6123 |
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