| Shannon Laurie Muniz, FNP | |
|
Po Box 685, La Jara, CO 81140-0685 | |
| (719) 588-3552 | |
| Not Available |
| Full Name | Shannon Laurie Muniz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | Po Box 685, La Jara, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023862786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | APN.0999683-NP (Colorado) | Primary |
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Laurie Muniz, FNP Po Box 685, La Jara, CO 81140-0685 Ph: (719) 588-3552 | Shannon Laurie Muniz, FNP Po Box 685, La Jara, CO 81140-0685 Ph: (719) 588-3552 |
Kalee Ann Chavez-miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 Main Street, La Jara, CO 81140 Phone: 719-274-5000 | |
Ms. Linda Lee I, FNP, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-5121 | |
Mrs. Maria Virginia Jordan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-6000 Fax: 719-274-6038 |