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Individual

DR. FREDI SHAE PROCHODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP,MSN, FNP, FPMHNP

Contact information

Practice address
6950 E BELLEVIEW AVE STE 300, GREENWOOD VILLAGE, CO 80111-1629
(303) 468-8018
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2342
(970) 335-2438

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177837
CO
363L00000X
Nurse Practitioner
RXP-100158
CO
363LF0000X
Family Nurse Practitioner
6013
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-6013
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21102384
MEDICAID GROUP NUMBER
CO
05
38303787
CO
Enumeration date
03/11/2010
Last updated
02/09/2026
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