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Individual

SHANNON AUCKLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
522 GEWONT LN, FRUITA, CO 81521-4500
(928) 606-8297
Mailing address
522 GEWONT LN, FRUITA, CO 81521-4500
(928) 606-8297

Taxonomy

Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
103363
AZ
163WI0500X
Infusion Therapy Registered Nurse
Primary
103363
AZ

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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