Provider Demographics
NPI:1821549643
Name:HUNDLEY, SHEILA (NP-C)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HUNDLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 HOSPITAL DR
Mailing Address - Street 2:SUITE 800
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4769
Mailing Address - Country:US
Mailing Address - Phone:505-395-3000
Mailing Address - Fax:505-983-7571
Practice Address - Street 1:1650 HOSPITAL DR
Practice Address - Street 2:SUITE 800
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4769
Practice Address - Country:US
Practice Address - Phone:505-395-3000
Practice Address - Fax:505-983-7571
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03087363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health