Individual provider · Type 1 NPI

Shannon L. Richardson, PA-C

Medical Physician Assistant · Colorado Springs, CO

NPI number 1285724245 Active

Practice location

2222 N Nevada Ave, Ste 4007
Colorado Springs, CO 80907-6819

Fax (719) 634-1448

Mailing address

2695 Rocky Mountain Ave, Ste 150
Loveland, CO 80538-9071

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-2330 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1285724245

Shannon L. Richardson, PA-C's National Provider Identifier is 1285724245, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 22, 2017.