Individual
SHELLY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
172 JUSTICE CENTER RD, CANON CITY, CO 81212-9354
(719) 275-1626
(719) 275-4328
Mailing address
172 JUSTICE CENTER RD, CANON CITY, CO 81212-9354
(719) 275-1626
(719) 275-4328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-160411
CO
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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