Provider Demographics
NPI:1275796500
Name:SHUMAN, PATRICIA ANNE (MN, FNP, BC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:MN, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SOLANO DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-2669
Mailing Address - Country:US
Mailing Address - Phone:505-255-2772
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEW MEXICO COEHP
Practice Address - Street 2:FPC #232, 2400 TUCKER NE, MSC-10-5550
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-8043
Practice Address - Fax:505-272-8044
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR17750363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily