Individual
SHANNON HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8058
(719) 274-6003
Mailing address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8058
(719) 274-6003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0122450
CO
163WX0200X
Oncology Registered Nurse
Primary
RN.0122450
CO
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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