Shelby Danae Whitlock-Virden, NP
Nurse Practitioner, Gerontology in Las Cruces, NM. Individual provider (NPI-1).
NPI number1003662768
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1003662768
- Entity type
- Individual (NPI-1)
- Name
- Shelby Danae Whitlock-Virden
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 77549 | NM | Yes |
Other names
- Shelby Whitlock (Former Name)
Practice location
5020 Meadow CirLas Cruces, NM 88007-5616
Phone 575-649-7113
Mailing address
5020 Meadow CirLas Cruces, NM 88007-5616
Phone 575-649-7113
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All 12 Gerontology Nurse Practitioner providers in Las Cruces · All 6,914 providers in Las Cruces
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