Individual
SHANNON TAYLOR HEIMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7120
CO
Other
Enumeration date
10/09/2021
Last updated
02/23/2022
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