Organization
EATON HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M NISLEY FNP-C (OWNER/PROVIDER)
(970) 438-4000
Entity
Organization
Contact information
Practice address
271 S ELM AVE, EATON, CO 80615-8264
(970) 438-4000
(833) 841-0412
Mailing address
271 S ELM AVE, EATON, CO 80615-8264
(970) 438-4000
(833) 841-0412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
04/09/2024
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