NPI 1003939638

Shirley Lee

Practitioner Physician Assistant Crownpoint, NM

Practice location

Address: Highway 371 Junction Route 9, Crownpoint, NM 87313
Phone: (505) 786-5291
Fax: (505) 786-6440
Mailing address: PO Box 358, Crownpoint, NM 87313-0358

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence NCCPA-790632 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1003939638
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.