Individual
SHANNON LEE FOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4420
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SRA100083
CO
Other
Enumeration date
05/30/2012
Last updated
02/17/2016
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