| NPI | 1942740071 |
|---|---|
| Former Name | SHANNON DYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 225058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992985-NP) |
| 163W00000X Registered Nurse (Licence: CO 1620156) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 225058) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2021-04-26 |