Individual provider · Type 1 NPI

Lissa Shaffer, FNP-BC, MSN, R

Nurse Practitioner · Santa Fe, NM

NPI number 1639856404 Active

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

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X74136 (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.