Individual
SHELLY L. CANNON STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-8506
Mailing address
1943 INTERLOCKEN DR, EVERGREEN, CO 80439-8952
(303) 670-2847
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
0993473-CNS
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993473-CNS
APN LICENSE
CO
Enumeration date
10/26/2017
Last updated
10/26/2017
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