Provider Demographics
NPI:1962391821
Name:CORRIZ, SHELBIE (MPH, CHES, CHW)
Entity type:Individual
Prefix:
First Name:SHELBIE
Middle Name:
Last Name:CORRIZ
Suffix:
Gender:F
Credentials:MPH, CHES, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1876 ALEXANDER RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-2865
Mailing Address - Country:US
Mailing Address - Phone:505-917-7329
Mailing Address - Fax:
Practice Address - Street 1:5840 OFFICE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5819
Practice Address - Country:US
Practice Address - Phone:505-349-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health