Shantz, Sheryl M

Shantz, Sheryl M is an individual health care provider with primary practice located at 1945 W 24Th St , Yuma AZ 85364-6105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shantz, Sheryl M can be contacted via phone (928) 341-4650.

Contact Information

Primary practice address
1945 W 24Th St Yuma AZ 85364-6105
Phone: (928) 341-4650
Fax: (928) 341-9779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1852 Arizona

Profile Details

NPI number 1285613075
LBN Legal business name Shantz, Sheryl M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 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 1285613075 NPPES
Arizona MEDICAID 825523

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