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Individual

SHIPHRAH ALDORA ALICIA WILLIAMS-EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, APRN, BC

Contact information

Practice address
3200 32ND STREET BYP, SILVER CITY, NM 88061-7802
(575) 597-2650
(575) 597-2651
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(918) 991-5748

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59284
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96306068
NM
Enumeration date
07/03/2006
Last updated
08/20/2020
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