Individual
MRS. SHELBY KATRINA NICOSIA-MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-4374
(505) 272-5551
(505) 272-6845
Mailing address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
(505) 298-2985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA2018-0053
NM
2080P0206X
Pediatric Gastroenterology Physician
PA2018-0053
NM
Other
Enumeration date
08/15/2018
Last updated
09/26/2019
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