Individual
PAMELA S SHUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-5584
Mailing address
802 W DRAKE RD, STE 101, FORT COLLINS, CO 80526-5567
(970) 494-6449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0002679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64534511
—
CO
Enumeration date
05/02/2006
Last updated
03/23/2016
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