NEW MEXICO SPECIALTY MEDICAL SERVICES LLC NPI 1073047825

NPI Information

  • NPI: 1073047825
  • Provider Name: NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 3200 LA ORILLA RD NW STE D3
    ALBUQUERQUE, NM
    ZIP 87120
  • Phone: (505) 873-2064

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NPI Details

NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC is a family nurse practitioner in Albuquerque, NM. NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC NPI is 1073047825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 LA ORILLA RD NW STE D3
ALBUQUERQUE, NM
ZIP 87120-742
Phone: (505) 873-2064
Fax: (877) 335-6410

The provider's authorized official is Debra Michelle Shelby .
The authorized official title is Owner and has the following contact phone number (772) 708-6776.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 9/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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