Individual provider · Type 1 NPI
Shannon Proctor, RN, LAC
Addiction (Substance Use Disorder) Registered Nurse · Colorado Springs, CO
NPI number
1881708618
Active
Practice location
115 Parkside Dr
Colorado Springs, CO 80910-3130
Fax (719) 447-4791
Mailing address
312 E Yampa St
Colorado Springs, CO 80903-2945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 163680 (CO) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1881708618
Shannon Proctor, RN, LAC's National Provider Identifier is 1881708618, issued on Aug 18, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 8, 2007.