Provider Demographics
NPI:1710169024
Name:STEPHAN, SHAWNA RENEE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:RENEE
Last Name:STEPHAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7720 S BROADWAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2632
Mailing Address - Country:US
Mailing Address - Phone:720-528-0800
Mailing Address - Fax:720-528-0801
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 250
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:720-528-0800
Practice Address - Fax:720-528-0801
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2013-01-06
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Provider Licenses
StateLicense IDTaxonomies
CO1253363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant