Individual
SHAWN QUICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
176 CAMINO BACA GRANDE,, CRESTONE, CO 81131-0983
(719) 256-5118
(719) 256-5518
Mailing address
PO BOX 983, 176 CAMINO BACA GRANDE, CRESTONE, CO 81131-0983
(719) 256-5118
(719) 256-5518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112719
CO
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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