Mrs Shelby M Manno, CPNP | |
1202 Highway 60 Bldg D, Socorro, NM 87801-3914 | |
(575) 838-4690 | |
(575) 838-4689 |
Full Name | Mrs Shelby M Manno |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1202 Highway 60 Bldg D, Socorro, 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 |
---|---|---|---|
1215655287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 69313 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shelby M Manno, CPNP 1202 Highway 60 Bldg D, Socorro, NM 87801-3914 Ph: (575) 838-4690 | Mrs Shelby M Manno, CPNP 1202 Highway 60 Bldg D, Socorro, NM 87801-3914 Ph: (575) 838-4690 |
Mr. Kary M Felt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Enterprise Rd, Socorro, NM 87801 Phone: 575-835-4444 Fax: 505-443-8336 | |
Janet Sue Hancock, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Neel Ave, Socorro, NM 87801 Phone: 575-418-5296 | |
Jennifer Marie Gregory, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Highway 60 Bldg D, Socorro, NM 87801 Phone: 575-838-4689 | |
Mr. Terry Wayne Hancock, MSN, RN,BC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Neel Ave, Socorro, NM 87801 Phone: 575-418-9563 | |
Ms. Debora Ivy Sanderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Enterprise Rd., Socorro, NM 87801 Phone: 575-835-4444 | |
Mrs. Tonya Natalie Lopez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Highway 60, Socorro, NM 87801 Phone: 505-610-1422 |