Individual
MS. CHRISTINE RUBY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-1601
(719) 524-7808
Mailing address
3914 WESLEY DR, COLORADO SPRINGS, CO 80917-5893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116689
CO
163WC0400X
Case Management Registered Nurse
Primary
116689
CO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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