Individual
SHANNON BEDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
318 ELK AVE STE 25, CRESTED BUTTE, CO 81224-5450
(916) 955-1147
Mailing address
PO BOX 2761, CRESTED BUTTE, CO 81224-2761
(916) 955-1147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
267519
AZ
363LF0000X
Family Nurse Practitioner
267519
AZ
363LF0000X
Family Nurse Practitioner
Primary
C-RXN.0101238-C-NP
CO
Other
Enumeration date
01/01/2024
Last updated
06/28/2025
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