Shannon Troy Hidalgo in Lake Charles - Family
Shannon Troy Hidalgo - NPI 1679537989
Shannon Troy Hidalgo is a Family in Lake Charles, Louisiana. Shannon Troy Hidalgo practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon Troy Hidalgo is 1679537989. The last update date is 2020-06-29.
Shannon Troy Hidalgo's current location address is Msu Box 90735, Lake Charles, Louisiana. You can contact this provider via phone number 3374755748 and fax number 3374786196. The mailing address for Shannon Troy Hidalgo is Msu Box 90735, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Troy Hidalgo |
|---|---|
| Address | Msu Box 90735, Lake Charles, Louisiana |
| Phone Number | 3374755748 |
| Fax Number | 3374786196 |
| Sole Proprietor | Y |
| Credentials | DNP, FNP-B |
NPI Number Detail
| NPI Number | 1679537989 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2020-06-29 |
Provider Mailing Address Detail
| Address | Msu Box 90735 |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706090001 |
| Phone Number | 3374755748 |
| Fax Number | 3374786196 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04423 |
|
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 |
|---|---|---|---|
| 1466158 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Troy Hidalgo by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Troy Hidalgo has been assigned the NPI (National Provider Identifier) 1679537989. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shannon Troy Hidalgo's facilities are situated?
The facilities of Shannon Troy Hidalgo are physically located at the following address: Msu Box 90735, Lake Charles, LA, 706090001.
What is Shannon Troy Hidalgo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Troy Hidalgo's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679537989 to Shannon Troy Hidalgo?
The Centers for Medicare & Medicaid Services originally issued the 1679537989 to Shannon Troy Hidalgo on 2006-04-13.
As of what date were the Shannon Troy Hidalgo's details last updated?
The information pertaining to the Shannon Troy Hidalgo, including its address, specialty, and other details, was most recently updated on 2020-06-29.