SearchNew Mexico374J00000X

Shannon Berg

NPI 1316828916 · on the registry since 2025 · sole proprietor

Practice

Address
1509 Agua Fria St Apt 11
Santa Fe, NM 87505
Phone
(505) 988-9668

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2025-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico