Individual
SHANA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(720) 723-3399
Mailing address
8954 E 58TH DR, DENVER, CO 80238-3984
(303) 435-9925
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
RN.0196272
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0993900-NP
CO
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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