Shult, Eileen
Shult, Eileen is an individual health care provider with primary practice located at 2450 S Telshor Blvd , Las Cruces NM 88011-5069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Shult, Eileen can be contacted via phone (575) 532-5455.Contact Information
Primary practice address
2450 S Telshor Blvd
Las Cruces NM 88011-5069
Phone: (575) 532-5455
Fax: (575) 532-5641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 672791 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | CNP-01549 | New Mexico |
Profile Details
| NPI number | 1578514790 |
|---|---|
| LBN Legal business name | Shult, Eileen |
| Credentials | RN,GNP C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 13th, 2011 - about 13 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 | 1578514790 | NPPES |
| Texas | MEDICAID | 175602501 | |
| Texas | MEDICAID | 175602502 |
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