Shelby J'aun Tatum, is a
Registered Nurse - School based in House, New Mexico. Shelby J'aun Tatum is licensed to practice in New Mexico (license number 77902) and her current practice location is
309 Apple Street, House, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 279-7353.
NPI number for Shelby J'aun Tatum is 1598435414 and her current mailing address is Po Box 673, House, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598435414.
Provider's Profile
| Full Name | Shelby J'aun Tatum |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - School |
|---|
| Location | 309 Apple Street, House, 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: 1598435414
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 09/14/2021
Medical Identifiers
Medical identifiers for Shelby J'aun Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598435414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WS0200X | Registered Nurse - School | 77902 (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. Shelby J'aun Tatum 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 |
|---|
Shelby J'aun Tatum,
Po Box 673,
House, NM 88121-0673
Ph: (575) 279-7353 | Shelby J'aun Tatum,
309 Apple Street,
House, NM 88121
Ph: (575) 279-7353 |
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