Individual provider · Type 1 NPI

Shay Malynn Benner, CPNP-PC

Critical Care Pediatric Nurse Practitioner · Albuquerque, NM

NPI number 1124609979 Active

Practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Fax (272) 684-5505

Mailing address

933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X62095 (NM)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1124609979

Shay Malynn Benner, CPNP-PC's National Provider Identifier is 1124609979, issued on Apr 14, 2021. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Albuquerque, NM. The record was last updated on May 26, 2023.