Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane Brock, CNP

Individual provider Primary Care Nurse Practitioner · NPI 1487806808

Mr. Shane Brock, CNP is a Primary Care Nurse Practitioner in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.

Licensed in
NM
In the registry since
2008
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1635 S Don Roser Dr Las Cruces VA Cboc
Las Cruces, NM 88011-4550
Phone: (575) 522-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence CNP01132/R46618 (NM)

Record details

NPI number1487806808
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESAugust 7, 2015

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