Provider Demographics
NPI:1508212986
Name:MCWILLIAMS, SHAUNA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26659 PLEASANT PARK RD
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7714
Mailing Address - Country:US
Mailing Address - Phone:303-647-5300
Mailing Address - Fax:
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 590
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:303-703-8583
Practice Address - Fax:303-703-9791
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991968-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily