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Individual

MS. SHAY MALYNN BENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-5551
(272) 684-5505
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-5551
(505) 272-6845

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
62095
NM

Other

Enumeration date
04/14/2021
Last updated
05/26/2023
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