Search › New Mexico › 363A00000X
Samantha Shannon, PA-C
NPI 1326133588 · on the registry since 2006
Practice
- Address
- 7850 Jefferson St Ne
Suite 300
Albuquerque, NM 87109 - Phone
- (505) 884-1114
- Fax
- (505) 856-6320
- Organisation at this address
- Genoa Healthcare Llc
Sage Primary Care Clinic
Sage Substance Use Services
Sage Neuroscience Center Inc
The Lasik Vision Institute LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-14
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