Individual provider · Type 1 NPI

Krystal Marie Shotliff, FNP

Family Nurse Practitioner · Pueblo, CO

NPI number 1063138162 Active

Practice location

201 Lamkin St. Unit 101
Pueblo, CO 81003-8100

Fax (719) 543-6655

Mailing address

401 N 3rd St
Canon City, CO 81212-3270

Other practice locations

  • 2608 Pemberly Ave, Highlands Ranch, CO 80126-7568 · (719) 755-0446
  • 3245 E US Highway 50 Unit E, Canon City, CO 81212-9343 · (719) 285-2888

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0998109 (CO)
Nurse Practitioner 363L00000X0998109 (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1063138162

Krystal Marie Shotliff, FNP's National Provider Identifier is 1063138162, issued on Oct 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pueblo, CO. The record was last updated on Aug 12, 2026.