Doctor Name: | MS. SHANNON E WINEGARNER |
NPI Number: | 1235269697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 164379 |
Business Practice Address: | 940 Central Park Dr Ste 101 Steamboat Springs, CO - 80482 |
Business Phone Number: | 9708791632 |
Business Fax Number: | 9708796774 |
Mailing Address: | 940 Central Park Dr, Ste 101 STEAMBOAT SPRINGS |
State: | CO |
Postal Code: | 80482 |
Phone Number: | 9708791632 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 164379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |