Shannon Proctor in Colorado Springs - Addiction (substance Use Disorder)
Shannon Proctor - NPI 1881708618
Shannon Proctor is a Addiction (substance Use Disorder) in Colorado Springs, Colorado. Shannon Proctor practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shannon Proctor is 1881708618. The last update date is 2007-07-08.
Shannon Proctor's current location address is 115 Parkside Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7195726340 and fax number 7194474791. The mailing address for Shannon Proctor is 115 Parkside Dr, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Proctor |
|---|---|
| Address | 115 Parkside Dr, Colorado Springs, Colorado |
| Phone Number | 7195726340 |
| Fax Number | 7194474791 |
| Sole Proprietor | N |
| Credentials | RN, LAC |
NPI Number Detail
| NPI Number | 1881708618 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 Parkside Dr |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809103130 |
| Phone Number | 7195726340 |
| Fax Number | 7194474791 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 163Wa0400X |
| Licence No | 163680 |
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Definition: A registered nurse who cares for people with alcohol, drug, and other addictions. |
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Post Comment/ Review Below
What is the Shannon Proctor's unique identification number?
The Shannon Proctor has been assigned the NPI (National Provider Identifier) Number 1881708618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Shannon Proctor is located?
The Shannon Proctor is situated at the following address: 115 Parkside Dr, Colorado Springs, CO, 809103130.
What is the Shannon Proctor's specialty and taxonomy code?
The Shannon Proctor's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 163Wa0400X.
On what date did the Shannon Proctor receive the assignment of its 1881708618 from the Centers for Medicare & Medicaid Services?
The Shannon Proctor was issued its 1881708618 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the Shannon Proctor's information last updated?
The Shannon Proctor's information was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY