Individual
MS. KRISTEN JOY SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
634 W PINON ST, FARMINGTON, NM 87401-5915
(505) 609-2000
(505) 609-2259
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
788
NM
Other
Enumeration date
04/06/2020
Last updated
11/14/2024
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