Lane, Carrie Shayne

Lane, Carrie Shayne is an individual health care provider with primary practice located at 1501 S Taylor St , Amarillo TX 79101-4307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Lane, Carrie Shayne can be contacted via phone (806) 372-8731.

Contact Information

Primary practice address
1501 S Taylor St Amarillo TX 79101-4307
Fax: (806) 372-8746
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 563362 Texas

Profile Details

NPI number 1700965795
LBN Legal business name Lane, Carrie Shayne
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700965795 NPPES
Texas MEDICAID 15389501

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