Individual
SHAWNA RAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Mailing address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0990575-NP
CO
363LF0000X
Family Nurse Practitioner
CNP-61940
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023566
KAISER COMMERCIAL NUMBER
CO
05
—
92427260
—
CO
01
—
CNP-61940
NM BOARD OF NURSING
NM
Enumeration date
04/04/2013
Last updated
01/25/2023
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