Individual
SONIA SIMEONI-SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 CUESTA RD, SANTA FE, NM 87508-8780
(607) 215-2807
Mailing address
34 CUESTA RD, SANTA FE, NM 87508-8780
(607) 215-2807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60073
NM
Other
Enumeration date
02/20/2020
Last updated
07/31/2023
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