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General NPI Number Information
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NPI Number | 1548121296
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Entity Type | Organization
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Legal Business Name | SHANNON WRIGHT PMHNP-BC PLLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 12/26/2025
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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 | 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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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | SHANNON WRIGHT
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Credential | APRN, PMHNP-BC
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Telephone | 719-631-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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