Individual
SHELBY DANAE WHITLOCK-VIRDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5020 MEADOW CIR, LAS CRUCES, NM 88007-5616
(575) 649-7113
Mailing address
5020 MEADOW CIR, LAS CRUCES, NM 88007-5616
(575) 649-7113
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
77549
NM
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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