Individual provider · Type 1 NPI
Shannon Fryett
Medical Physician Assistant · Denver, CO
NPI number
1508455718
Active
Practice location
777 Bannock St
Denver, CO 80204-4597
Fax (303) 602-5184
Other practice locations
- 11422 Kaywood Cir, Escondido, CA 92026-8407 · (760) 670-7955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA.0007994 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1508455718
Shannon Fryett's National Provider Identifier is 1508455718, issued on Jan 12, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Denver, CO. The record was last updated on Jun 11, 2026.