Individual
SHELLY RAE NOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2211 N MAIN ST STE 11, LAS CRUCES, NM 88001-1136
(575) 639-0444
Mailing address
10614 N VALLEY DR, LAS CRUCES, NM 88007-6027
(575) 639-0444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01583
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24206229
—
NM
Enumeration date
01/08/2010
Last updated
04/02/2025
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