Individual
GRACE A SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4545 E 9TH AVE STE 150, DENVER, CO 80220-3906
(303) 991-0993
(303) 531-6583
Mailing address
2431 BENTON ST, EDGEWATER, CO 80214-1256
(708) 860-7091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0997074
CO
363LF0000X
Family Nurse Practitioner
NA
CO
Other
Enumeration date
10/13/2021
Last updated
03/28/2023
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