Individual
SHUO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8244
(505) 272-4639
Mailing address
MSC09 5030 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8244
(505) 272-4639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9531433
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
65515
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
10/06/2021
Last updated
03/30/2023
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