Shackelford, Laura Ann

Shackelford, Laura Ann is an individual health care provider with primary practice located at 2090 Smoketree Ave N , Lake Havasu City AZ 86403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shackelford, Laura Ann can be contacted via phone (928) 854-1800.

Contact Information

Primary practice address
2090 Smoketree Ave N Lake Havasu City AZ 86403
Phone: (928) 854-1800
Fax: (928) 854-1847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 761981 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9332948 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010856 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5734 Arizona

Profile Details

NPI number 1821005968
LBN Legal business name Shackelford, Laura Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 15th, 2022 - about 2 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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