MEDICARE: MRS. SHEILA LUCERO BELTRAN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	238852	AZ

General Provider Information

NPI Number	:	1154280634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA LUCERO BELTRAN FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 4209
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-3923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 EAST CESAR CHAVEZ BLVD
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85349
Country	:	US
Telephone Number	:	928-627-3822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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