Individual provider · Type 1 NPI

Carissa Shea

Acute Care Nurse Practitioner · Colorado Springs, CO

NPI number 1356980304 Active

Practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Mailing address

2222 N Nevada Ave Ste 1
Colorado Springs, CO 80907-6794

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRXN.0104425-NP (CO)
Acute Care Nurse Practitioner Primary 363LA2100XRXN.0104425-NP (CO)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356980304

Carissa Shea's National Provider Identifier is 1356980304, issued on Dec 21, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 21, 2019.