Most Relevant Information
Provider Data
NPI Number: | 1003229576 |
Provider Name: | SHANA KNESEL |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | RN.1624624 |
Most Important Dates
Enumeration Date: | 06/03/2014 |
Last Updated: | 06/03/2014 |
Provider Practice Location
302 2ND STREET
OURAY
CO
814270670
Practice Location Phone/Fax
Phone: | 9703254670 |
Fax: | 9703257314 |
Provider Mailing Location
PO BOX 670
OURAY
CO
814270670
Provider Mailing Phone/Fax
Phone: | 9703254670 |
Fax: | 9703257314 |