Detterer, Shari L

Detterer, Shari L is an individual health care provider with primary practice located at 303 Colland Drive , Fort Collins CO 80525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Detterer, Shari L can be contacted via phone (970) 821-3031.

Contact Information

Primary practice address
303 Colland Drive Fort Collins CO 80525
Fax: (970) 821-3525
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 78927 Colorado

Profile Details

NPI number 1376511584
LBN Legal business name Detterer, Shari L
Credentials F.N.P.-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376511584 NPPES
Colorado MEDICAID 07789274

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