| Shirley Knackstedt, CFNP | |
|
7218 4th St Nw, Los Ranchos, NM 87107-6624 | |
| (505) 730-5603 | |
| (505) 554-2313 |
| Full Name | Shirley Knackstedt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7218 4th St Nw, Los Ranchos, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114908761 | NPI | - | NPPES |
| K3771 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R39671/CNP00873 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Knackstedt, CFNP 7218 4th St Nw, Los Ranchos, NM 87107-6624 Ph: (505) 730-5603 | Shirley Knackstedt, CFNP 7218 4th St Nw, Los Ranchos, NM 87107-6624 Ph: (505) 730-5603 |
Andrea E Maloney, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7103 4th St Nw Ste C, Los Ranchos, NM 87107 Phone: 505-433-3994 Fax: 505-433-2748 | |
Anahi Dominicci, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6729 4th St Nw Ste 3, Los Ranchos, NM 87107 Phone: 505-620-1199 |