1619907979 NPI number — SHIPHRAH ALDORA ALICIA WILLIAMS-EVANS PHD, APRN, BC

Table of content: SHIPHRAH ALDORA ALICIA WILLIAMS-EVANS PHD, APRN, BC (NPI 1619907979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619907979 NPI number — SHIPHRAH ALDORA ALICIA WILLIAMS-EVANS PHD, APRN, BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS-EVANS
Provider First Name:
SHIPHRAH
Provider Middle Name:
ALDORA ALICIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD, APRN, BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619907979
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
530 DE MOSS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LORDSBURG
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88045-2617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-991-5748
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3200 32ND STREET BYP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SILVER CITY
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88061-7802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-597-2650
Provider Business Practice Location Address Fax Number:
575-597-2651
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  59284 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 96306068 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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