Individual provider · Type 1 NPI
Ty Shettron, FNP
Family Nurse Practitioner · Castle Rock, CO
NPI number
1659709574
Active
Practice location
1144 Lake Gulch Rd
Castle Rock, CO 80104-9743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GAA-NP001776 (GA) |
| Family Nurse Practitioner | 363LF0000X | 70369 (NM) |
| Family Nurse Practitioner | 363LF0000X | SP032245 (PA) |
| Family Nurse Practitioner | 363LF0000X | 0024193274 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0990954 (CO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1659709574
Ty Shettron, FNP's National Provider Identifier is 1659709574, issued on Nov 1, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Castle Rock, CO. The record was last updated on Dec 29, 2025.