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MR. MICHAEL SHANNON DIPRIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1707 COLE BLVD STE 100, GOLDEN, CO 80401-3219
(303) 763-4900
(303) 763-5495
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 538-2900
(719) 538-2990

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9274858
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9274858
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9274858
STATE
FL
Enumeration date
02/18/2018
Last updated
05/02/2024
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