Search › New Mexico › 367500000X
Shannon Smith
NPI 1487222733 · on the registry since 2021 · sole proprietor
Practice
- Address
- 555 S Telshor Blvd Ste 100b
Las Cruces, NM 88011 - Phone
- (575) 541-4206
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163WC0200X
- Licence states on file
- SC, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-21
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