Individual
SANDRA SHUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(575) 339-9634
(575) 339-2789
Mailing address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(915) 478-8951
(575) 339-2789
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
570698
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02567
NM
Other
Enumeration date
12/20/2011
Last updated
09/16/2019
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