Individual provider · Type 1 NPI

Shielamae N. Carbullido, A-GNP-C

Primary Care Nurse Practitioner · Harker Heights, TX

NPI number 1104600691 Active

Practice location

3035 Stillhouse Lake Rd,
Harker Heights, TX 76548

Mailing address

1246 Jester Ct
Copperas Cove, TX 76522-8102

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X1129827 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104600691

Shielamae N. Carbullido, A-GNP-C's National Provider Identifier is 1104600691, issued on Aug 24, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Harker Heights, TX. The record was last updated on Aug 24, 2023.