Individual provider · Type 1 NPI
Shelly Hannula, RN
Community Health Registered Nurse · Pueblo, CO
NPI number
1730459520
Active
Practice location
1026 W Abriendo Ave
Pueblo, CO 81004-1128
Fax (719) 545-4100
Mailing address
1304 Chinook Ln
Pueblo, CO 81001-1851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | RN160735 (CO) |
Community Health Registered Nurse: Definition to come...
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About NPI 1730459520
Shelly Hannula, RN's National Provider Identifier is 1730459520, issued on Jan 10, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Pueblo, CO. The record was last updated on Jan 10, 2012.