Individual
MRS. SHAWNA M MISTRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2222 N NEVADA AVE, 4007, COLORADO SPRINGS, CO 80907-6819
(719) 634-6671
Mailing address
17560 CLEESE CT, PEYTON, CO 80831-9482
(719) 749-0026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186998
CO
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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