MEDICARE: SHANNON LILLER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.1001488-NP	CO

General Provider Information

NPI Number	:	1770448896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON LILLER

Provider Business Mailing Address
First Line	:	8354 E NORTHFIELD BLVD # 329
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3131
Country	:	US
Telephone Number	:	720-738-7873
Fax Number	:

Provider Business Practice Location Address
First Line	:	8354 E NORTHFIELD BLVD # 329
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3131
Country	:	US
Telephone Number	:	720-738-7873
Fax Number	:

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

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “ SHANNON LILLER ” Practice Location

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