Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD2015-0944 | NM |
N | 111NI0900X | Internist | MD2015-0944 | NM |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD2015-0944 | NM |
NPI | 1003230517 |
---|---|
Provider Name | Nancy Shrestha |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87131-5906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 04/06/2021 |