Individual
MS. SHANNA LEA MOSHURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2001 S SHIELDS ST STE 101, FORT COLLINS, CO 80526-1827
(970) 493-5334
Mailing address
2001 S SHIELDS ST STE 101, FORT COLLINS, CO 80526-1827
(970) 493-5334
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000844
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330080487
—
MO
Enumeration date
03/12/2010
Last updated
11/29/2021
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