Individual
MISS CAROL JEAN SHOULDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD CDE LD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 968-6020
(505) 368-6481
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-8020
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
505
NM
163WD0400X
Diabetes Educator Registered Nurse
Primary
09315463
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17125758
—
NM
Enumeration date
10/03/2005
Last updated
09/11/2025
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