Individual
MS. SHAWN BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP, CNM
Contact information
Practice address
1001 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87102-2708
(505) 272-0457
(505) 272-2043
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
425
NM
363LF0000X
Family Nurse Practitioner
Primary
R37437
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17605717
—
NM
Enumeration date
07/11/2006
Last updated
05/23/2012
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