Individual
SHANNON FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1259 LAKE PLAZA DR STE 270, COLORADO SPRINGS, CO 80906-3560
(719) 653-7776
Mailing address
4505 WINDMILL FLATS CT, PEYTON, CO 80831-7561
(720) 980-2995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APN.0998426-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0998426-NP
CO
Other
Enumeration date
02/09/2023
Last updated
01/12/2024
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