| Doctor Name: | MS. LYNN MARIE SHIELDS |
| NPI Number: | 1023240645 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP/FNP |
| License Number: | 5988 |
| Business Practice Address: | 1600 N Grand Ave Suite 245 Pueblo, CO - 810032700 |
| Business Phone Number: | 7195957040 |
| Business Fax Number: | |
| Mailing Address: | 400 W 16th St, PUEBLO |
| State: | CO |
| Postal Code: | 810032745 |
| Phone Number: | 7195844000 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 08/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5988 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |