Individual
ARLENE VIRAY SHANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
7619 LEGACY PKWY, CHEYENNE, WY 82009-8660
(307) 266-3506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5753A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111020900
—
WY
05
—
134181200
—
WY
Enumeration date
12/01/2006
Last updated
09/23/2022
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