Individual
KATHRYN MARY SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 W 2ND PL, SUITE 255, LAKEWOOD, CO 80228-1575
(720) 321-8050
(720) 321-8041
Mailing address
11750 W 2ND PL, SUITE 255, LAKEWOOD, CO 80228-1575
(720) 321-8050
(720) 321-8041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN47963
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0002493-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08577021
—
CO
01
—
C801234
MEDICARE
CO
Enumeration date
09/24/2006
Last updated
09/13/2013
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