Individual
SHAWN A. KOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1104 N MAIN ST, PUEBLO, CO 81003-2826
(719) 298-4430
Mailing address
1104 N MAIN ST, PUEBLO, CO 81003-2826
(719) 298-4430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0991118-NP
CO
363LF0000X
Family Nurse Practitioner
APN.0991118-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0101601-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23634073
—
CO
Enumeration date
03/18/2014
Last updated
05/29/2025
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