Individual
SHANNON GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1002 CANBY ST, LARAMIE, WY 82072-2704
(307) 760-3933
Mailing address
1002 CANBY ST, LARAMIE, WY 82072-2704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52462
WY
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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