Converse, Shannon Galbreath
Converse, Shannon Galbreath is an individual health care provider with primary practice located at 2955 S Broadway , Englewood CO 80113-1526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Converse, Shannon Galbreath can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
2955 S Broadway
Englewood CO 80113-1526
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 180363 | Colorado |
Profile Details
| NPI number | 1164658670 |
|---|---|
| LBN Legal business name | Converse, Shannon Galbreath |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Dec 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164658670 | NPPES |
| Colorado | MEDICAID | 03834573 | |
| Colorado | Other | 025150 |
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