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Ms. Lea A. Shivley, ARNP-C
Family Nurse Practitioner in Fallon, Nevada
NPI 1659582260

Lea A. Shivley is a Family Nurse Practitioner based in Fallon, NV and is specialized in Family. Lea A. Shivley practices in Fallon, NV and has the professional credentials of ARNP-C. The NPI Number for Lea A. Shivley is 1659582260 and holds a License No. 45900 (Nevada).

The current practice location address for Lea A. Shivley is 1001 Rio Vista Dr, Fallon, NV and can be reached out via phone at 775-423-3634.

Location: 1001 Rio Vista Dr, Fallon, NV, 89406-5463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659582260
Provider Name
Lea A. Shivley
Credential
ARNP-C
Provider Entity Type
Individual
Gender
Female
Address
1001 Rio Vista Dr, Fallon, NV, 89406-5463
Phone Number
775-423-3634
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN001720 01 NV LICENSE
institution
Provider Business Practice Location Address Details
Address
1001 Rio Vista Dr
City
Fallon
State
Nevada
Zip
89406-5463
Phone Number
775-423-3634
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Rio Vista Dr
City
Fallon
State
Nevada
Zip
89406-5463
Phone Number
775-423-3634
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
45900 (Kansas)
Definition
Definition to come...
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