Healthcare Provider Details

I. General information

NPI: 1508212986
Provider Name (Legal Business Name): SHAUNA MCWILLIAMS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26659 PLEASANT PARK RD
CONIFER CO
80433-7768
US

IV. Provider business mailing address

26659 PLEASANT PARK RD
CONIFER CO
80433-7768
US

V. Phone/Fax

Practice location:
  • Phone: 303-647-5300
  • Fax:
Mailing address:
  • Phone: 303-647-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991968-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: