Mr Shane Brock, CNP | |
1635 S Don Roser Dr, Las Cruces Va Cboc, Las Cruces, NM 88011-4550 | |
(575) 522-1241 | |
Not Available |
Full Name | Mr Shane Brock |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 1635 S Don Roser Dr, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487806808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | CNP01132/R46618 (New Mexico) | Primary |
Entity Name | Apogee Medical Group New Mexico Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740237262 PECOS PAC ID: 1456337542 Enrollment ID: O20040629000263 |
Mailing Address | Practice Location Address |
---|---|
Mr Shane Brock, CNP 1635 S Don Roser Dr, Las Cruces Va Cboc, Las Cruces, NM 88011-4550 Ph: (575) 522-1241 | Mr Shane Brock, CNP 1635 S Don Roser Dr, Las Cruces Va Cboc, Las Cruces, NM 88011-4550 Ph: (575) 522-1241 |
Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113 | |
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200 | |
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311 | |
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500 | |
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403 | |
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992 | |
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482 |