Shelby A Depas | Minnetonka, MN • PECOS Search

Shelby A Depas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343

PECOS Enrollment

Based on the most recent information from CMS, provider Shelby A Depas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 10 days ago.

Profile Details

Provider ID
1326000589
Provider Type
Individual
Full Name
Depas, Shelby A
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/4/2006
Last Updated
9/22/2020

Contact Information

Practice Location

9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343

Unlisted Fax

Mailing Location

380 Ridge View Dr, Sequim, WA 98382-9588

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP60439679 Washington