Shayna Yedra-schaefer | |
1717 Wilmoore Dr Se Albuquerque NM 87106-4128 | |
(505) 720-7702 | |
Not Available |
Full Name | Shayna Yedra-schaefer |
---|---|
Speciality | Social Worker - Clinical |
Location | 1717 Wilmoore Dr Se, Albuquerque, New Mexico |
Authorized Official Name and Position | Shayna Lee Schaefer (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5057207702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shayna Yedra-schaefer 1717 Wilmoore Dr Se Albuquerque NM 87106-4128 Ph: (505) 720-7702 | Shayna Yedra-schaefer 1717 Wilmoore Dr Se Albuquerque NM 87106-4128 Ph: (505) 720-7702 |
NPI Number | 1164637161 |
---|---|
Provider Enumeration Date | 05/12/2007 |
Last Update Date | 09/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164637161 | NPI | - | NPPES |
10021694 | Other | NM | LOVELACE |
73726851 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-06002 (New Mexico) | Primary |
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