Individual provider · Type 1 NPI

Shiloh Brennecke

Student in an Organized Health Care Education/Training Program · Grand Junction, CO

NPI number 1205404589 Active

Practice location

2853 North Avenue
Grand Junction, CO 81501-5040

Call (970) 256-9424 Map

Mailing address

562 29 Rd
Grand Junction, CO 81504-8901

Other practice locations

  • 562 29 Rd, Grand Junction, CO 81504-8901 · (970) 985-7467

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205404589

Shiloh Brennecke's National Provider Identifier is 1205404589, issued on Jun 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 14, 2021.