Individual
MRS. SHANA MARIE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1675 GARDEN OF THE GODS RD, SUITE 2044, COLORADO SPRINGS, CO 80907-9444
(719) 575-8612
Mailing address
1675 GARDEN OF THE GODS RD, SUITE 2044, COLORADO SPRINGS, CO 80907-9444
(719) 575-8612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN. 1622332
CO
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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