Individual provider · Type 1 NPI
Tamara Jean Shannon, CPNP
Pediatric Nurse Practitioner · Albuquerque, NM
NPI number
1669446126
Active
Practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
5540 Timberfalls Rd NW
Albuquerque, NM 87114-0594
Other practice locations
- 377 Th Medical Group, Mdos/sgomp, Kirtland Afb, NM 87117 · (505) 846-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | CNP-01796 (NM) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669446126
Tamara Jean Shannon, CPNP's National Provider Identifier is 1669446126, issued on Feb 13, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 22, 2023.