Shannon Grisham, RN

NPI #1194606103 in Laramie, Wyoming

Provider Information

NPI Number: 1194606103
Entity Type: Individual
Name: Shannon Grisham, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 1002 CANBY ST
City: Laramie
State: Wyoming
ZIP Code: 82072-2704
Phone: (307) 760-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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