Individual provider · Type 1 NPI

Shannon Radak

Family Nurse Practitioner · Denver, CO

NPI number 1124410196 Active

Practice location

777 Bannock St
Denver, CO 80204-4507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0991287 (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1124410196

Shannon Radak's National Provider Identifier is 1124410196, issued on Feb 26, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Denver, CO. The record was last updated on Mar 28, 2015.