Individual
SHAILAH BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1001 W BROADWAY STE D&E, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 443-8335
Mailing address
1001 W BROADWAY STE D&E, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 443-8335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74569
NM
Other
Enumeration date
08/10/2023
Last updated
12/30/2024
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