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Contact Information

SHANNON BEDORE, FNP
318 ELK AVE STE 25
CRESTED BUTTE, CO81224-5450
 Phone: 916-955-1147
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SHANNON BEDORE · (Female)

NPI # 1215706296
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/01/2024
Last updated 06/28/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 267519
  • CO License # C-RXN.0101238-C-NP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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