Individual provider · Type 1 NPI

Shala Marie Caudill

Nurse Practitioner · Clovis, NM

NPI number 1730930611 Active

Practice location

2421 W 21st St Ste B
Clovis, NM 88101-2006

Other practice locations

  • 3265 NE Ralph Powell Rd, Lees Summit, MO 64064-2301 · (913) 754-5092

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2026011637 (MO)
Nurse Practitioner 363L00000X78291 (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 1730930611

Shala Marie Caudill's National Provider Identifier is 1730930611, issued on Mar 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clovis, NM. The record was last updated on Apr 10, 2026.