Individual provider · Type 1 NPI

Shannon Williamson, NP

Gerontology Nurse Practitioner · Wheat Ridge, CO

NPI number 1073167870 Active

Practice location

3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800

Mailing address

1647 Elk Valley Dr
Evergreen, CO 80439-4924

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XANP.0994835-NP (CO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1073167870

Shannon Williamson, NP's National Provider Identifier is 1073167870, issued on Jul 30, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jul 30, 2019.