Provider Demographics
NPI:1639833106
Name:LEMERANDE, SHELLEY (APRN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:
Last Name:LEMERANDE
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-2220 KAIWAWALO ST UNIT 703
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6549
Mailing Address - Country:US
Mailing Address - Phone:843-813-1805
Mailing Address - Fax:
Practice Address - Street 1:91-2220 KAIWAWALO ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6546
Practice Address - Country:US
Practice Address - Phone:843-813-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily