Individual
MS. LYNN MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP/FNP
Contact information
Practice address
4491 BENT BROTHERS BLVD, COLORADO CITY, CO 81019-9990
(719) 595-7525
(719) 595-7965
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7417
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5987
CO
363LF0000X
Family Nurse Practitioner
5988
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
5987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06358306
—
CO
Enumeration date
08/14/2009
Last updated
03/17/2018
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