Shantel Garcia
Individual provider Active NPI School Registered Nurse · Mora, NM
NPI 1326872714 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1326872714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 384519 (NM)
- Practice address
- 10 Ranger Rd
Mora, NM 87732-2340 - Phone
- (575) 387-3112
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 384519 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 384519 | NM | Yes |
Addresses
Primary practice location
10 Ranger Rd
Mora, NM 87732-2340
Mailing address
10 Ranger Rd
Mora, NM 87732-2340
Phone (575) 387-3112
Other providers in Mora, NM
- Consuelo Cruz
- Nathan Christopher Duran
- Devon Denise Fox
- William Fresquez
- Clarissa Garcia
- Helping Hands Inc.
- Tanya Johnson
- Kids Counseling, Inc
- Michael J. Lee
- Jessica Monique Lucero
All providers in Mora, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.