Healthcare Provider Details
I. General information
NPI: 1306286448
Provider Name (Legal Business Name): BRANDY ANNE SHAHIN MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/03/2013
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2880 W HOLDEN PL
DENVER CO
80204-3353
US
IV. Provider business mailing address
19667 E MANN CREEK DR APT C
PARKER CO
80134-3407
US
V. Phone/Fax
- Phone: 303-953-6600
- Fax:
- Phone: 303-953-6600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R31774 |
| License Number State | ND |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: