Garner, Shandelon
Garner, Shandelon is an sole proprietor health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Community Health is her primary health care specialty. Garner, Shandelon can be contacted via phone (520) 533-5126.Contact Information
Primary practice address
2240 Winrow Rd
Fort Huachuca AZ 85613-5080
Phone: (520) 533-5126
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 1-117468 | Alabama |
Nursing Service Providers / Community Health | 163WC1500X | 186149 | Arizona |
Profile Details
NPI number | 1649726290 |
---|---|
LBN Legal business name | Garner, Shandelon |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 1st, 2016 |
Last updated | Sep 1st, 2016 - about 9 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 | 1649726290 | NPPES |
Arizona | Other | 186149 | RN LICENSE |
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