Hiatt, Shari Jean

Hiatt, Shari Jean is an individual health care provider with primary practice located at 5904 Holly Ave Ne , Albuquerque NM 87113-2472. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hiatt, Shari Jean can be contacted via phone (505) 298-2505.

Contact Information

Primary practice address
5904 Holly Ave Ne Albuquerque NM 87113-2472
Phone: (505) 298-2505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2022-0103 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3535 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0303P New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2022-0103 New Mexico

Profile Details

NPI number 1447222930
LBN Legal business name Hiatt, Shari Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 29th, 2023 - about last year

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 1447222930 NPPES
Arizona MEDICAID 324670
Arizona MEDICAID 30331845

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