Individual
SHANNON GALBREATH CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
180363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025150
KAISER COMMERCIAL NUMBER
CO
05
—
03834573
—
CO
Enumeration date
06/10/2009
Last updated
12/01/2014
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