Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHASTIDY PAULINE LOPEZ, CCSS
ActiveSHASTIDY PAULINE LOPEZ, CCSS is a Military Health Care Provider healthcare provider located in TIJERAS, New Mexico. NPI 1962273854 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · TIJERAS, NM
Registration Details
- NPI Number
- 1962273854
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2024 (2.628642502496 yrs)
- Last Updated
- Sep 26, 2024
Practice Information
- Address
-
1 CAMINO ORO CTTIJERAS, NM, 870597924Browse NM providers · Browse ZIP 87059
- Phone
- 7065938731
- Fax
- 7065938732
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.