Individual
SHAUNA MICHELLE MCCOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP, CNM
Contact information
Practice address
3201 N RIDGE LOOP DR, SILVER CITY, NM 88061-7243
(575) 388-4251
(575) 388-4514
Mailing address
3201 N RIDGE LOOP DR, SILVER CITY, NM 88061-7243
(575) 574-7911
(575) 388-4514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01356
NM
367A00000X
Advanced Practice Midwife
588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S6635
—
NM
01
—
QMP000004444002
MOLINA ID
—
Enumeration date
04/28/2008
Last updated
04/14/2017
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