Individual
SHANE TIMOTHY MCMURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC, RNFA
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(928) 310-4614
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(928) 310-4614
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN205967
AZ
363LF0000X
Family Nurse Practitioner
Primary
316858
AZ
Other
Enumeration date
12/17/2020
Last updated
12/17/2025
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