SHELBY DANAE WHITLOCK-VIRDEN NP NPI 1003662768

NPI Information

  • NPI: 1003662768
  • Provider Name: SHELBY DANAE WHITLOCK-VIRDEN, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5020 MEADOW CIR
    LAS CRUCES, NM
    ZIP 88007
  • Phone: (575) 649-7113

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NPI Details

Shelby Danae Whitlock-virden, NP is a gerontology nurse practitioner in Las Cruces, NM with 3 years of experience. Shelby Danae Whitlock-virden, NP NPI is 1003662768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5020 MEADOW CIR
LAS CRUCES, NM
ZIP 88007-616
Phone: (575) 649-7113

The NPI 1003662768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2024 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology77549NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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