| Dana Shock, | |
|
Pueblo Of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 | |
| (505) 771-9915 | |
| Not Available |
| Full Name | Dana Shock |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | Pueblo Of San Felipe, San Felipe Pueblo, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255885430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R49626 (New Mexico) | Primary |
| 163WC1500X | Registered Nurse - Community Health | R49626 (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Shock, Po Box 4339, Pueblo Of San Felipe, San Felipe Pueblo, NM 87001 Ph: (505) 771-9915 | Dana Shock, Pueblo Of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 Ph: (505) 771-9915 |
Edward Gary Gum, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: #3 Cedar Road, San Felipe Pueblo, NM 87001 Phone: 505-771-9941 Fax: 505-771-9992 | |
Mr. Timothy Earle Moeslein, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: #3 Cedar Road, San Felipe Pueblo, NM 87001 Phone: 505-771-9900 |