Individual
SHAWN A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0178142
CO
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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