MR. Shane Brock, CNP
NPI #1487806808 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1487806808
- Entity Type
- Individual
- Name
- MR. Shane Brock, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- CNP
- Enumeration Date
- Oct 16, 2008
- Last Updated
- Aug 7, 2015
Practice Location
- Address
- 1635 S DON ROSER DR
- Address 2
- LAS CRUCES VA CBOC
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-4550
- Phone
- (575) 522-1241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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