Individual provider · Type 1 NPI

Shasta Nicole Ward, RN

Emergency Registered Nurse · Gallup, NM

NPI number 1265064729 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X9351722 (FL)

Emergency Registered Nurse: Definition to come...

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About NPI 1265064729

Shasta Nicole Ward, RN's National Provider Identifier is 1265064729, issued on Feb 12, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Feb 12, 2020.