Individual
SHIMON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1130 COMMERCE DR, LAS CRUCES, NM 88011-8209
(575) 405-4062
(888) 592-0422
Mailing address
1130 COMMERCE DR, LAS CRUCES, NM 88011-8209
(575) 405-4062
(888) 592-0422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-03523
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10034781
—
NM
Enumeration date
03/23/2018
Last updated
04/22/2026
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