Individual
MRS. SHARI JEAN HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 SHEEP SPRINGS RD, JEMEZ PUEBLO, NM 87024-0731
(575) 834-7413
(575) 834-3081
Mailing address
UNMH FAMILY PRACTICE 24, ALBUQUERQUE, NM 87131-3630
(505) 272-1734
(928) 774-6687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3535
AZ
363A00000X
Physician Assistant
PA2022-0103
NM
363AM0700X
Medical Physician Assistant
0303P
NH
363AM0700X
Medical Physician Assistant
Primary
PA2022-0103
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331845
—
NH
05
—
324670
—
AZ
Enumeration date
02/07/2006
Last updated
03/24/2025
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