person
Shirley Knackstedt, CFNP
Family Nurse Practitioner in Los Ranchos, New Mexico
NPI 1114908761

Shirley Knackstedt is a Family Nurse Practitioner based in Los Ranchos, NM and is specialized in Family. Shirley Knackstedt practices in Los Ranchos, NM and has the professional credentials of CFNP. The NPI Number for Shirley Knackstedt is 1114908761 and holds a License No. R39671/CNP00873 (New Mexico).

The current practice location address for Shirley Knackstedt is 7218 4Th St Nw, Los Ranchos, NM and can be reached out via phone at 505-730-5603 and via fax at 505-554-2313.

Location: 7218 4Th St Nw, Los Ranchos, NM, 87107-6624
person
Provider Profile Details
NPI Number
1114908761
Provider Name
Shirley Knackstedt
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
7218 4Th St Nw, Los Ranchos, NM, 87107-6624
Phone Number
505-730-5603
Fax Number
505-554-2313
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K3771 05 NM
institution
Provider Business Practice Location Address Details
Address
7218 4Th St Nw
City
State
Zip
87107-6624
Phone Number
505-730-5603
Fax Number
505-554-2313
person
Provider Business Mailing Address Details
Address
7218 4Th St Nw
City
State
Zip
87107-6624
Phone Number
505-730-5603
Fax Number
505-554-2313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R39671/CNP00873 (New Mexico)
Definition
Definition to come...
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