Individual
BEVERLY ANNE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 W 21ST ST STE R1, CLOVIS, NM 88101-4098
(575) 935-0944
Mailing address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59884
NM
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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