Individual
SHANNON JOHNSON BORTOLOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 JULIAN ST, DENVER, CO 80211-1610
(720) 848-0945
Mailing address
4200 JULIAN ST, DENVER, CO 80211-1610
(720) 848-0945
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
0106859
CO
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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