Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0995318-NP | CO |
NPI | 1003200635 |
---|---|
Provider Name | Rashina Shambe |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2015 |
Last Update Date | 09/04/2020 |