Shaffer, Shannon M

Shaffer, Shannon M is an individual health care provider with primary practice located at 130 Ranger Ct , Clovis NM 88101-8439. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shaffer, Shannon M can be contacted via phone (619) 890-4786.

Contact Information

Primary practice address
130 Ranger Ct Clovis NM 88101-8439
Phone: (619) 890-4786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 113172 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95011972 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6919 Connecticut

Profile Details

NPI number 1588117717
LBN Legal business name Shaffer, Shannon M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2016
Last updated Nov 25th, 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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