Individual
MRS. SHELBY M MANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1202 HIGHWAY 60 BLDG D, SOCORRO, NM 87801-3914
(575) 838-4690
(575) 838-4689
Mailing address
1202 HIGHWAY 60 BLDG D, SOCORRO, NM 87801-3914
(575) 838-4690
(575) 838-4689
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
69313
NM
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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