Individual
PATRICIA LEE SHANABERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 N. EL PASO STREET, EL PASO, TX 79902
(915) 831-4495
(915) 831-4449
Mailing address
10110 WOODWAY DRIVE, EL PASO, TX 79925
(915) 590-7158
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
570415
TX
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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