Individual
BARBARA A SHEBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
516 E. NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 733-8496
Mailing address
516 E. NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 733-8496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R22630
NM
363L00000X
Nurse Practitioner
Primary
R22630
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q9306
—
NM
05
—
415928
—
AZ
Enumeration date
07/04/2006
Last updated
02/16/2012
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