Shields, Alfreda

Shields, Alfreda is an individual health care provider with primary practice located at 2122 Troy Rd Ste 130 , Edwardsville IL 62025-2540. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shields, Alfreda can be contacted via phone (618) 463-8500.

Contact Information

Primary practice address
2122 Troy Rd Ste 130 Edwardsville IL 62025-2540
Phone: (618) 463-8500
Fax: (618) 996-5291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000588 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2012001249 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020037590 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2012001249 Missouri

Profile Details

NPI number 1497021810
LBN Legal business name Shields, Alfreda
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated May 9th, 2024 - about last year

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 1497021810 NPPES
Missouri Other 2020037590 PMHNP
Missouri MEDICAID 2020037590 PMHNP

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