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 4 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