Individual
CAROLYN GERALDINE SHUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
6001 WOODMEN RD, COLORADO SPRINGS, CO 80923-2601
(719) 683-3888
Mailing address
3850 FISHERS WAY, PEYTON, CO 80831-7224
(719) 683-3888
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
71402
CO
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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