Individual
CELINA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58944
NM
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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