Individual
SHANA RAE THOMPSON
Active
Individual
SHANA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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