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Individual

SHEILA REPKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
730 MACON AVE, CANON CITY, CO 81212-3314
(719) 275-1618
Mailing address
243 GLENMOOR RD, CANON CITY, CO 81212-2715

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996576-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN.0996576-NP
STATE LICENSE
CO
01
F06210043
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
01
RXN.0105653-NP
STATE LICENSE
CO
Enumeration date
06/14/2021
Last updated
06/14/2021
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