Most Relevant Information
Provider Data
| NPI Number: | 1003662768 |
| Provider Name: | SHELBY DANAE WHITLOCK-VIRDEN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 77549 |
Most Important Dates
| Enumeration Date: | 04/24/2024 |
| Last Updated: | 04/24/2024 |
Provider Practice Location
5020 MEADOW CIR
LAS CRUCES
NM
880075616
Practice Location Phone/Fax
| Phone: | 5756497113 |
| Fax: |
Provider Mailing Location
5020 MEADOW CIR
LAS CRUCES
NM
880075616
Provider Mailing Phone/Fax
| Phone: | 5756497113 |
| Fax: |