Individual
MS. LEA A. SHIVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
Mailing address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
45900
KS
363LF0000X
Family Nurse Practitioner
Primary
APRN001720
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN001720
LICENSE
NV
Enumeration date
05/24/2007
Last updated
06/04/2014
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