Individual
SHANNON BETH GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
1918 CREST HAVEN CIR, COLORADO SPRINGS, CO 80909-2901
(719) 761-0397
Mailing address
4570 HAGERWOOD ST, COLORADO SPRINGS, CO 80920-7535
(928) 853-3123
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
990039
CO
363LA2200X
Adult Health Nurse Practitioner
AP3672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04927273
—
CO
Enumeration date
06/01/2010
Last updated
05/31/2013
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