Individual
SHA CHARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UNM PA PROGRAM MSC 09 5040 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-9864
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0140
NM
Other
Enumeration date
06/22/2023
Last updated
03/28/2025
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