Healthcare Provider Details

I. General information

NPI: 1689527178
Provider Name (Legal Business Name): MONCURE HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 11TH ST
SILVER CITY NM
88061-5510
US

IV. Provider business mailing address

16 LA MONTANA
SILVER CITY NM
88061-9289
US

V. Phone/Fax

Practice location:
  • Phone: 772-708-8476
  • Fax:
Mailing address:
  • Phone: 772-708-8476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHANNON MARIE MONCURE
Title or Position: OWNER
Credential: APRN, FNP-C
Phone: 772-708-8476