Individual
SHANNON L LISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 N FRANKLIN ST # 200, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
13463 QUIVAS ST, WESTMINSTER, CO 80234-1030
(720) 384-6214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1689660
CO
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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