Dr SHELLI D CHITTUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA
CA
904042303
Tel: 3108295511
| Npi | 1932565322 |
| Pac Id | 4183914476 |
| Professional Enrollment Id | I20160526002520 |
| Last Name | CHITTUM |
| First Name | SHELLI |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Group Practice Pac Id | 0840548624 |
| Number Of Group Practice Members | 164 |
| Line 1 Street Address | 2121 SANTA MONICA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042303 |
| Phone Number | 3108295511 |
| Hospital Affiliation Ccn 1 | 050599 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050290 |
| Hospital Affiliation Lbn 2 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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