Shana Light
NPI #1629670096 in Carbondale, Colorado
Provider Information
- NPI Number
- 1629670096
- Entity Type
- Individual
- Name
- Shana Light
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Nov 11, 2020
Practice Location
- Address
- 978 EUCLID AVE
- City
- Carbondale
- State
- Colorado
- ZIP Code
- 81623-1820
- Phone
- (970) 963-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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