Individual
MRS. SHANNA DOUCETTE KNIERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
301 W 6TH AVE, MAIL CODE 1911, DENVER, CO 80204-5182
(303) 602-8361
Mailing address
301 W 6TH AVE, MAIL CODE 1911, DENVER, CO 80204-5182
(303) 602-8361
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-10085
CO
Other
Enumeration date
07/22/2009
Last updated
08/29/2012
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