Individual
PAULA RAE SHELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1025 GARFIELD ST, SUITE B, FORT COLLINS, CO 80524
(970) 495-7420
(970) 495-7609
Mailing address
1025 GARFIELD ST, SUITE B, FORT COLLINS, CO 80524-3930
(970) 495-7420
(970) 495-7609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
57965
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0002850-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07321571
—
CO
Enumeration date
07/08/2006
Last updated
06/20/2018
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