Individual
SHANNON M KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6131 S ROBB WAY, LITTLETON, CO 80127-4736
(314) 724-9505
Mailing address
6131 S ROBB WAY, LITTLETON, CO 80127-4736
(314) 724-9505
(303) 474-7848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0994066
CO
363LF0000X
Family Nurse Practitioner
0994066
CO
363LF0000X
Family Nurse Practitioner
F07181080
CO
Other
Enumeration date
10/23/2018
Last updated
11/28/2022
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