person
Mr. Shane Brock, CNP
Primary Care Nurse Practitioner in Las Cruces, New Mexico
NPI 1487806808

Shane Brock is a Primary Care Nurse Practitioner based in Las Cruces, NM and is specialized in Primary Care. Shane Brock practices in Las Cruces, NM and has the professional credentials of CNP. The NPI Number for Shane Brock is 1487806808 and holds a License No. CNP01132/R46618 (New Mexico).

The current practice location address for Shane Brock is 1635 S Don Roser Dr, Las Cruces, NM and can be reached out via phone at 575-522-1241.

Location: 1635 S Don Roser Dr, Las Cruces, NM, 88011-4550
person
Provider Profile Details
NPI Number
1487806808
Provider Name
Shane Brock
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1635 S Don Roser Dr, Las Cruces, NM, 88011-4550
Phone Number
575-522-1241
Fax Number
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1635 S Don Roser Dr
City
State
Zip
88011-4550
Phone Number
575-522-1241
Fax Number
person
Provider Business Mailing Address Details
Address
1635 S Don Roser Dr
City
State
Zip
88011-4550
Phone Number
575-522-1241
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
CNP01132/R46618 (New Mexico)
Definition
Definition to come...
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