Shelly Renee Wilson
Transplant Surgeon
201 Cedar St Se Ste 820 Kidney Transplant Center
Albuquerque
, New Mexico 87106-8710
Shelly Renee Wilson
Transplant Surgeon
201 Cedar St Se Ste 820 Kidney Transplant Center
Albuquerque
, New Mexico 87106-8710
(505) 923-6700
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About
Features
Specialties
- Transplant Surgeon
Languages spoken
- English
Location
First Address
- Shelly Renee Wilson
- Po Box 26666 Phs Provider Enrollment
- Albuquerque, NM
- Zip : 87125-6666
- Phone : (505) 923-6700
Second Address
- Shelly Renee Wilson
- 201 Cedar St Se Ste 820 Kidney Transplant Center
- Albuquerque, NM
- Zip : 87106-8710
- Fax : (505) 222-2149
- Phone : (505) 841-1434
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What type of doctor is Shelly Renee Wilson
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Is Shelly Renee Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgeon | MD2020-1086 | NM |
National Provider Identifier
| NPI | 1316381460 |
|---|---|
| Provider Name | Shelly Renee Wilson |
| First Address | Albuquerque, NM 87125-6666 |
| Second Address | Albuquerque, NM 87106-8710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2013 |
| Last Update Date | 15/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.