Individual
SHANNON RADAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0991287
CO
Other
Enumeration date
02/26/2015
Last updated
03/28/2015
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