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NPI Code Detail

MEDICARE: MRS. SHAWNNA DURAND SNODGRASS NP

MEDICARE: MRS. SHAWNNA DURAND SNODGRASS NP
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
1363LA2200XAdult Health Nurse PractitionerAPN0994617-NPCO

General Provider Information

NPI Number : 1639790587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAWNNA DURAND SNODGRASS NP
Provider Business Mailing Address
First Line : 3579 CRESTONE DR
Second Line :
City : LOVELAND
State : CO
Zip : 80537-3500
Country : US
Telephone Number : 970-310-4128
Fax Number :
Provider Business Practice Location Address
First Line : 305 CARPENTER RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4248
Country : US
Telephone Number : 970-663-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 03/12/2026

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