Individual
SHANNON GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9362 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7007
(719) 345-0429
Mailing address
9362 GRAND CORDERA PKWY STE 100, COLORADO SPRINGS, CO 80924-7007
(719) 345-0429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0995563
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0995563
CO
Other
Enumeration date
06/22/2020
Last updated
09/01/2025
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