Individual
SHANA KNESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 2ND STREET, OURAY, CO 81427-0670
(970) 325-4670
(970) 325-7314
Mailing address
PO BOX 670, OURAY, CO 81427-0670
(970) 325-4670
(970) 325-7314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1624624
CO
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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