Shafer, Kimberly Ann
Shafer, Kimberly Ann is an individual health care provider with primary practice located at 2601 Wasson Rd , Big Spring TX 79720-6416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shafer, Kimberly Ann can be contacted via phone (432) 714-4284.Contact Information
Primary practice address
2601 Wasson Rd
Big Spring TX 79720-6416
Phone: (432) 714-4284
Fax: (432) 714-4286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 578393 | Texas |
Profile Details
| NPI number | 1063413557 |
|---|---|
| LBN Legal business name | Shafer, Kimberly Ann |
| Credentials | R.N., F.N.P.-B.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 2nd, 2008 - about 18 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 | 1063413557 | NPPES |
| Texas | MEDICAID | 167375801 | |
| Texas | Other | NP7140 |
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