Provider Demographics
NPI:1831388727
Name:WRIGHT, SHAUNA GERTRUDE (DO)
Entity type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:GERTRUDE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHUANA
Other - Middle Name:GERTRUDE
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:720 S. COLORADO BLVD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-584-8231
Mailing Address - Fax:866-210-0907
Practice Address - Street 1:720 S. COLORADO BLVD
Practice Address - Street 2:#220A
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1912
Practice Address - Country:US
Practice Address - Phone:303-584-8208
Practice Address - Fax:866-210-2804
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO366802083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO305039Medicare PIN