Provider Demographics
NPI:1043041858
Name:GAFFNEY, SHELLINA
Entity type:Individual
Prefix:
First Name:SHELLINA
Middle Name:
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9924 SWEEPSTAKES LN APT 4
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7834
Mailing Address - Country:US
Mailing Address - Phone:407-744-8405
Mailing Address - Fax:
Practice Address - Street 1:9924 SWEEPSTAKES LN APT 4
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7834
Practice Address - Country:US
Practice Address - Phone:407-744-8405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator