Mary E Shy is a Family in Walsh, Colorado. Mary E Shy practices all healthcare services and medical treatments related to Family. The NPI Number for Mary E Shy is 1053412742. The last update date is 2021-06-07.
Mary E Shy's current location address is Po Box 608, Walsh, Colorado. You can contact this provider via phone number 7195436633 and fax number 7195436655. The mailing address for Mary E Shy is Po Box 608, Walsh, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary E Shy |
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Address | Po Box 608, Walsh, Colorado |
Phone Number | 7195436633 |
Fax Number | 7195436655 |
Sole Proprietor | N |
Credentials | FNP-CS |
NPI Number Detail
NPI Number | 1053412742 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
Address | Po Box 608 |
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City | Walsh |
State | Colorado (CO) |
Post Code | 810900608 |
Phone Number | 7195436633 |
Fax Number | 7195436655 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 2312 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
45253 | KANSAS BOARD OF HEALING ARTS | ||
58851747 | CO | -- |
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What is the unique 10-digit identification code assigned to Mary E Shy by the Centers for Medicare & Medicaid Services?
The Mary E Shy has been issued the NPI (National Provider Identifier) 1053412742, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary E Shy located?
The Mary E Shy is located at Po Box 608, Walsh, CO 810900608.
What is the Mary E Shy's specialty and taxonomy code?
The Mary E Shy's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did Mary E Shy receive its 1053412742 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Shy was assigned its 1053412742 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mary E Shy most recently updated or revised?
The information pertaining to Mary E Shy, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-07.