Individual
RENEE L O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1133
(303) 415-7610
(303) 415-7618
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 415-7610
(303) 415-7618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0005171-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
RN.0162540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27123537
—
CO
Enumeration date
01/26/2007
Last updated
11/09/2017
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