Healthcare Provider Details

I. General information

NPI: 1861743866
Provider Name (Legal Business Name): SUSAN A SHORT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S WADSWORTH BLVD
DENVER CO
80232-6832
US

IV. Provider business mailing address

3140 SNAKE RIVER DR
GRAND JUNCTION CO
81504-2444
US

V. Phone/Fax

Practice location:
  • Phone: 303-985-1597
  • Fax: 303-985-2108
Mailing address:
  • Phone: 801-860-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0003894
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: