New Mexico
Regulation & Licensing Department
SHANE J.C. BROCK
Certified Nurse Practitioner
License number
CNP01132
Date granted
10/06/2008
Date expires
03/31/2015
Class
Certified Nurse Practitioner
Status
Active
licensingnm.com
ID 5339786
LAST UPDATED 2026-07-10 16:14:10 UTC
LAST UPDATED 2026-07-10 16:14:10 UTC
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