Individual
SHANNON BROOKE MANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13650 E MISSISSIPPI AVE STE 100B, AURORA, CO 80012-3573
(303) 695-1338
(303) 695-8814
Mailing address
750 W HAMPDEN AVE STE 105, ENGLEWOOD, CO 80110-2167
(303) 341-4730
(303) 341-4708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996619-NP
CO
Other
Enumeration date
06/24/2021
Last updated
07/24/2021
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