Individual provider · Type 1 NPI
Lissa Shaffer, FNP-BC, MSN, R
Nurse Practitioner · Santa Fe, NM
Practice location
4200 Beckner Rd
Santa Fe, NM 87507-3774
Mailing address
2085 S Pacheco St
Santa Fe, NM 87505-6103
Other practice locations
- 2085 S Pacheco St, Santa Fe, NM 87505-6103 · (505) 477-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 74136 (NM) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1639856404
Lissa Shaffer, FNP-BC, MSN, R's National Provider Identifier is 1639856404, issued on Jul 3, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Fe, NM. The record was last updated on May 28, 2025.