MEDICARE: MONCURE HEALTH AND WELLNESS

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1689527178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONCURE HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	16 LA MONTANA
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-9289
Country	:	US
Telephone Number	:	575-882-2699
Fax Number	:	575-993-5838

Provider Business Practice Location Address
First Line	:	110 E 11TH ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-5510
Country	:	US
Telephone Number	:	575-882-2699
Fax Number	:	575-993-5838

Authorized Official
Title or Position	:	OWNER
Name	:	SHANNON MARIE MONCURE
Credential	:	APRN, FNP-C
Telephone Number	:	575-882-2699

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	03/10/2026

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