Individual
SHANNON WEISS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S TELSHOR BLVD STE 100B, LAS CRUCES, NM 88011-3644
(575) 541-4206
Mailing address
555 S TELSHOR BLVD STE 100B, LAS CRUCES, NM 88011-3644
(575) 541-4206
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
235237
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
4000524
KY
Other
Enumeration date
06/14/2021
Last updated
02/21/2025
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