Individual
SHANA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
978 EUCLID AVE, CARBONDALE, CO 81623-1820
(970) 963-3350
(970) 963-2958
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4259
(970) 384-7033
(970) 384-8174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995947-NP
CO
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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