Provider Demographics
NPI:1598364952
Name:OEHRLE, SHANNON ELENA (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:ELENA
Last Name:OEHRLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2317
Mailing Address - Country:US
Mailing Address - Phone:720-936-4553
Mailing Address - Fax:
Practice Address - Street 1:850 E HARVARD AVE STE 305
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5076
Practice Address - Country:US
Practice Address - Phone:303-993-5651
Practice Address - Fax:303-552-5730
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995616-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily