Miss Carol Jean Shoulders, RD CDE LD is a
Registered Nurse - Diabetes Educator based in Shiprock, New Mexico. Miss Carol Jean Shoulders is licensed to practice in New Mexico (license number 09315463) and her current practice location is
Us Hwy 491 North, Shiprock, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 968-6020.
NPI number for Miss Carol Jean Shoulders is 1841287182 and her current mailing address is Po Box 160, Shiprock, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841287182.
Healthcare Provider's Profile
Full Name | Miss Carol Jean Shoulders |
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Gender | Female |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | Us Hwy 491 North, Shiprock, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841287182
- Provider Enumeration Date: 10/03/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Carol Jean Shoulders such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841287182 | NPI | - | NPPES |
17125758 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 505 (New Mexico) | Primary |
163WD0400X | Registered Nurse - Diabetes Educator | 09315463 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Carol Jean Shoulders is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Carol Jean Shoulders, RD CDE LD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-8020 | Miss Carol Jean Shoulders, RD CDE LD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 968-6020 |
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