NPI 1316381460

Shelly Renee Wilson, MDPHD

Practitioner Transplant Surgery Physician Albuquerque, NM

Practice location

Address: 201 Cedar St SE STE 820 Kidney Transplant Center, Albuquerque, NM 87106-8710
Phone: (505) 841-1434
Fax: (505) 222-2149
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (2)

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence MD2020-1086 (NM)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1316381460
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2013
Record last updated: 15 Dec 2020

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.