Individual
MRS. SHANNON M NISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
271 S ELM AVE, EATON, CO 80615-8264
(970) 438-4000
Mailing address
271 S ELM AVE, EATON, CO 80615-8264
(970) 438-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997413-NP
CO
Other
Enumeration date
03/14/2022
Last updated
04/09/2024
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