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Contact Information

SHALA M CAUDILL
2421 W 21ST ST STE B
CLOVIS, NM88101-2006
 Phone: 620-259-0903
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHALA M CAUDILL · (Female)

NPI # 1730930611
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2024
Last updated 04/10/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2026011637
  • NM License # 78291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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