Individual
SHAVONNE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2949 FEDERAL BLVD, DENVER, CO 80211-3741
(817) 941-1197
Mailing address
3303 W. 97TH AVE, 4, WESTMINSTER, CO 80031
(817) 941-1197
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1152161
TX
156FX1101X
Ophthalmic Assistant
18025
TX
163WE0003X
Emergency Registered Nurse
1152161
TX
163WG0000X
General Practice Registered Nurse
Primary
1152161
TX
163WL0100X
Lactation Consultant (Registered Nurse)
1152161
TX
163WM0102X
Maternal Newborn Registered Nurse
1152161
TX
163WX1100X
Ophthalmic Registered Nurse
1152161
TX
171400000X
Health & Wellness Coach
1152161
TX
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
1152161
TX
251J00000X
Nursing Care Agency
1152161
TX
261QH0100X
Health Service Clinic/Center
—
CO
332900000X
Non-Pharmacy Dispensing Site
—
CO
364SF0001X
Family Health Clinical Nurse Specialist
1152161
TX
374J00000X
Doula
1152161
TX
405300000X
Prevention Professional
1152161
TX
Other
Enumeration date
03/05/2024
Last updated
04/29/2024
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