Lissa Shaffer, FNP-BC, MSN, R

Nurse Practitioner · Santa Fe, NM

Individual Active NPI

NPI number 1639856404

Practice location

4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone
(505) 477-2200

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NPI record

NPI
1639856404
Entity type
Individual (Type 1)
Enumeration date
July 3, 2023
Last updated
May 28, 2025
Certified
May 28, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 74136 NM

Mailing address

2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone
(505) 477-2200

Other practice locations (1)

  • 2085 S Pacheco St, Santa Fe, NM 87505-6103 · (505) 477-2200

About Lissa Shaffer

Lissa Shaffer, FNP-BC, MSN, R is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 4200 Beckner Rd, Santa Fe, NM 87507-3774. The NPI number 1639856404 was assigned on July 3, 2023 and the record was last updated on May 28, 2025.

Lissa Shaffer lists a license in the registry: #74136 (NM) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lissa Shaffer, FNP-BC, MSN, R?

The NPI number is 1639856404.

What is the phone number of Lissa Shaffer?

The phone number listed for the practice location is (505) 477-2200.

Where is Lissa Shaffer located?

4200 Beckner Rd, Santa Fe, NM 87507-3774.

What is the taxonomy code for Lissa Shaffer?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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