Individual
MS. SHAWNA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
275 S MAIN ST STE 208, LONGMONT, CO 80501-6461
(720) 224-1373
Mailing address
275 S MAIN ST STE 208, LONGMONT, CO 80501-6461
(720) 224-1373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1625862
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995904-NP
CO
Other
Enumeration date
05/07/2014
Last updated
12/10/2020
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