Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE BROCK, CNP
ActiveMR. SHANE BROCK, CNP is a Primary Care Nurse Practitioner healthcare provider located in LAS CRUCES, New Mexico. NPI 1487806808 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · LAS CRUCES, NM
Registration Details
- NPI Number
- 1487806808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2008 (17.782943134232 yrs)
- Last Updated
- Aug 7, 2015
- License
-
CNP01132/R46618 (NM)
Practice Information
- Address
-
1635 S DON ROSER DRLAS CRUCES VA CBOCLAS CRUCES, NM, 880114550Browse NM providers · Browse ZIP 88011
- Phone
- 5755221241
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE HERNANDEZ | — | 1598112435 |
| SARAH PATRICIA SUMMERS-BARRIO | DNP, FNP-BC | 1154829570 |
| KATHLEEN A STEVENS | NP | 1275013922 |
| NATALIA GOMEZ | DNP | 1639055866 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.