Mrs. Deborah Eileen Shock
Nurse Practitioner - Adult Health
275 W Hwy 50
Cañon City
, Colorado 81212
Mrs. Deborah Eileen Shock
Nurse Practitioner - Adult Health
275 W Hwy 50
Cañon City
, Colorado 81212
(719) 591-7116
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Deborah Eileen Shock
- 7240 Ashley Dr
- Colorado Springs, CO
- Zip : 80922-1637
- Phone : (719) 591-7116
Second Address
- Mrs. Deborah Eileen Shock
- 275 W Hwy 50
- Canon City, CO
- Zip : 81212
- Phone : (719) 269-4078
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 99150 | CO |
National Provider Identifier
| NPI | 1013113828 |
|---|---|
| Provider Name | Mrs. Deborah Eileen Shock |
| First Address | Colorado Springs, CO 80922-1637 |
| Second Address | Canon City, CO 81212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.