MEDICARE: SHANNON PFEIFFER NORLAND DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0102206453	VA
2	208100000X	Physical Medicine & Rehabilitation Physician	0102206453	VA

General Provider Information

NPI Number	:	1639631872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON PFEIFFER NORLAND DO

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	05/08/2026

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