Provider Demographics
NPI:1427207158
Name:READ, SHAWNNA BLAIR (CNP)
Entity Type:Individual
Prefix:MRS
First Name:SHAWNNA
Middle Name:BLAIR
Last Name:READ
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1608 W CHICO DR
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-1600
Mailing Address - Country:US
Mailing Address - Phone:575-602-8447
Mailing Address - Fax:
Practice Address - Street 1:5916 N LOVINGTON HWY
Practice Address - Street 2:HIGH PLAINS ONCOLOGY
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-9152
Practice Address - Country:US
Practice Address - Phone:575-942-2550
Practice Address - Fax:575-942-2551
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR60786207R00000X
NMCNP01398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine