Individual
MS. EILEEN SHULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,GNP C
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 532-5455
(575) 532-5641
Mailing address
PO BOX 14232, LAS CRUCES, NM 88013-4232
(575) 532-5455
(575) 532-5641
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
672791
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP-01549
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175602501
—
TX
05
—
175602502
—
TX
Enumeration date
05/12/2006
Last updated
07/13/2011
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