Dana Shock, | |
Pueblo Of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 | |
(505) 771-9915 | |
Not Available |
Full Name | Dana Shock |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | Pueblo Of San Felipe, San Felipe Pueblo, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255885430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R49626 (New Mexico) | Primary |
163WC1500X | Registered Nurse - Community Health | R49626 (New Mexico) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dana Shock, Po Box 4339, Pueblo Of San Felipe, San Felipe Pueblo, NM 87001 Ph: (505) 771-9915 | Dana Shock, Pueblo Of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 Ph: (505) 771-9915 |
Edward Gary Gum, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: #3 Cedar Road, San Felipe Pueblo, NM 87001 Phone: 505-771-9941 Fax: 505-771-9992 | |
Mr. Timothy Earle Moeslein, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: #3 Cedar Road, San Felipe Pueblo, NM 87001 Phone: 505-771-9900 |