Shahan, Traci

Shahan, Traci is an individual health care provider with primary practice located at 600 S Airport Rd Bldg A , Longmont CO 80503-6424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shahan, Traci can be contacted via phone (720) 378-6900.

Contact Information

Primary practice address
600 S Airport Rd Bldg A Longmont CO 80503-6424
Phone: (720) 378-6900
Fax: (877) 241-8199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 3082 Colorado

Profile Details

NPI number 1871777193
LBN Legal business name Shahan, Traci
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Oct 25th, 2017 - about 7 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 1871777193 NPPES
Colorado Other 112531 NURSING LICENSE

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