Individual
GENNADY SHILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
206 UVALDA ST, AURORA, CO 80011-8602
(303) 551-1610
Mailing address
22699 E IDA CIR, AURORA, CO 80015-6669
(303) 507-3623
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0169522
CO
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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