Healthcare Provider Details

I. General information

NPI: 1609787605
Provider Name (Legal Business Name): SHANIA SHEIKH-CARRASCO MSN, FNP-C, MEP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N 15TH ST
ARTESIA NM
88210-1771
US

IV. Provider business mailing address

107 N 15TH ST
ARTESIA NM
88210-1771
US

V. Phone/Fax

Practice location:
  • Phone: 575-736-2511
  • Fax:
Mailing address:
  • Phone: 575-736-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number60473
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: