Individual
SHELLY RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
201 CEDAR ST SE STE 820, KIDNEY TRANSPLANT CENTER, ALBUQUERQUE, NM 87106-8710
(505) 841-1434
(505) 222-2149
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6700
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD2020-1086
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2013
Last updated
12/15/2020
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