| Ms Shannon Elizabeth Sandoval, LPN | |
| 
					413 Sipapu Road, # 6952, Taos, NM 87571  | |
| (575) 758-5857 | |
| (575) 758-5857 | 
| Full Name | Ms Shannon Elizabeth Sandoval | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 413 Sipapu Road, Taos, New Mexico | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912232521 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L20200 (New Mexico) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Shannon Elizabeth Sandoval, LPN 650 Guara Lane, Taos, NM 87571 Ph: (575) 758-2494  | Ms Shannon Elizabeth Sandoval, LPN 413 Sipapu Road, # 6952, Taos, NM 87571 Ph: (575) 758-5857  | 
Sue Crutcher,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W, Ste A, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860  | |
Mrs. Kristine Romero, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 305 Don Fernando St, Taos, NM 87571 Phone: 575-737-6079 Fax: 575-737-6091  | |
Caprice Davis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste A, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860  |