Chavez, Shannon N.
Chavez, Shannon N. is an sole proprietor health care provider with primary practice located at 3005 Hillrise Dr , Las Cruces NM 88011-4703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chavez, Shannon N. can be contacted via phone (575) 525-3980.Contact Information
Primary practice address
3005 Hillrise Dr
Las Cruces NM 88011-4703
Phone: (575) 525-3980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 63200 | New Mexico |
Profile Details
| NPI number | 1104592138 |
|---|---|
| LBN Legal business name | Chavez, Shannon N. |
| Credentials | DNP-FNPBC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2021 |
| Last updated | Feb 1st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104592138 | NPPES |
| New Mexico | MEDICAID | 63200 |
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