Individual
SHAWNA LEA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1110 RAILROAD AVE STE C, DOLORES, CO 81323-9769
(970) 233-2272
(970) 296-5382
Mailing address
1110 RAILROAD AVE STE C, DOLORES, CO 81323-9769
(970) 233-2272
(970) 296-5382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997199-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000202016
—
CO
Enumeration date
12/16/2021
Last updated
12/08/2025
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