Individual
SHELBY MALIN CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-6767
(719) 336-7217
Mailing address
32770 COUNTY ROAD 17, LAS ANIMAS, CO 81054-9464
(719) 688-9962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994194-NP
CO
Other
Enumeration date
10/04/2018
Last updated
04/08/2021
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