Shaw, Patricia Ann
Shaw, Patricia Ann is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 208 , Las Cruces NM 88011-8260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaw, Patricia Ann can be contacted via phone (575) 523-6554.Contact Information
Primary practice address
4351 E Lohman Ave Ste 208
Las Cruces NM 88011-8260
Phone: (575) 523-6554
Fax: (575) 523-5357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 170523 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP-2403 | New Mexico |
Profile Details
| NPI number | 1427283811 |
|---|---|
| LBN Legal business name | Shaw, Patricia Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2009 |
| Last updated | Sep 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427283811 | NPPES |
| Colorado | MEDICAID | 09685758 |
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