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General NPI Number Information
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NPI Number | 1215365994
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Entity Type | Individual
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Provider Name | SHANNON WRIGHT PMHNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1864 WOODMOOR DR STE 217
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City | MONUMENT
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State | CO
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Zip | 80132-9095
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Country | US
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Telephone | 719-631-1605
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Fax | 719-249-9587
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2417
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Fax | 970-490-4173
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 780390
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 780390
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0998448-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0998448-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0998448-NP
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License Number State | CO
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