Individual
SHANDI CHRISTINE MORALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4010 22ND ST, LUBBOCK, TX 79410-1116
(806) 767-1727
Mailing address
3610 41ST ST, LUBBOCK, TX 79413-3018
(806) 777-0027
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
1073705
TX
363LF0000X
Family Nurse Practitioner
764096
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
764096
TX
Other
Enumeration date
03/25/2022
Last updated
08/11/2022
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