Provider Demographics
NPI:1952067688
Name:HOOPER, SHAWNA ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:ANNE
Last Name:HOOPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:ANNE
Other - Last Name:DAKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:245 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-7711
Mailing Address - Country:US
Mailing Address - Phone:207-561-0022
Mailing Address - Fax:
Practice Address - Street 1:1605 N UNION BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2828
Practice Address - Country:US
Practice Address - Phone:719-387-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997145-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily