Allen, Shannon Michelle

Allen, Shannon Michelle is an individual health care provider with primary practice located at 1600 N Main Ave , Lovington NM 88260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Allen, Shannon Michelle can be contacted via phone (575) 396-6611.

Contact Information

Primary practice address
1600 N Main Ave Lovington NM 88260
Fax:
Website:

Health care specialties

Profile Details

NPI number 1114924008
LBN Legal business name Allen, Shannon Michelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 8th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114924008 NPPES
New Mexico MEDICAID 32951736

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