Individual
SHELLY KRISTINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2111 N. LOBO CANYON RD., GRANTS, NM 87020
(505) 876-8360
Mailing address
12217 CEDAR RIDGE DR NE, ALBUQUERQUE, NM 87112-4614
(505) 250-6887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63474
NM
Other
Enumeration date
04/13/2021
Last updated
08/20/2021
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