Individual
MICHAEL RYAN CAPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8608 PRISTINE DR NE, ALBUQUERQUE, NM 87122-4323
(707) 290-6126
Mailing address
8608 PRISTINE DR NE, ALBUQUERQUE, NM 87122-4323
(707) 290-6126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54792
NM
363L00000X
Nurse Practitioner
Primary
54792
NM
Other
Enumeration date
06/27/2025
Last updated
04/24/2026
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