MEDICARE: SHANNON SUE ANDERSON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA2025-0149	NM

General Provider Information

NPI Number	:	1598654998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON SUE ANDERSON PA-C

Provider Business Mailing Address
First Line	:	MSC09 5040, 1 UNIVERSITY OF NEW MEXICO
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	MSC09 5040, 1 UNIVERSITY OF NEW MEXICO
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-9864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	04/06/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1225979925 — DR. FADI ALI JAMALEDDIN AHMAD MD, MPH
Practice Location Address:

MSC09 5040, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
87131-0001

Practice Phone: 505-272-6607
Practice Fax: 505-272-8045

1588505200 — BRYAN COURTLAND GUTMAN MD
Practice Location Address:

1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
87131-0001

Practice Phone: 505-272-6607
Practice Fax: 505-272-8045

1982545612 — REYNALDO DAVID CONTRERAS MD
Practice Location Address:

MSC10 5600 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
87131-0001

Practice Phone: 505-272-2231
Practice Fax:

1205777935 — DAHLIA ALEXANDRIA BRASUEL
Practice Location Address:

1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
87131-0001

Practice Phone: 505-272-6607
Practice Fax: 505-272-8045

1073454625 — ABIGALE ROSE ALDRICH MD
Practice Location Address:

1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
87131-0001

Practice Phone: 505-272-4161
Practice Fax: 505-272-2776

Directions to “ SHANNON SUE ANDERSON PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.