Individual
SHELBY DAWN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4947 W C ST, GREELEY, CO 80634-4392
(402) 203-1225
Mailing address
4947 W C ST, GREELEY, CO 80634-4392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1617915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617915
RN LICENSE
CO
Enumeration date
04/21/2023
Last updated
04/21/2023
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