Individual provider · Type 1 NPI

Shannon Grisham, RN

Registered Nurse · Laramie, WY

NPI number 1194606103 Active

Practice location

1002 Canby St
Laramie, WY 82072-2704

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X52462 (WY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194606103

Shannon Grisham, RN's National Provider Identifier is 1194606103, issued on Sep 8, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Laramie, WY. The record was last updated on Sep 8, 2025.