Provider Demographics
NPI:1285998542
Name:FALBO, SHANNON SPANARELLA (PA-C)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:SPANARELLA
Last Name:FALBO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:MICHELLE
Other - Last Name:SPANARELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7625 W 92ND AVENUE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4567
Mailing Address - Country:US
Mailing Address - Phone:303-427-4075
Mailing Address - Fax:303-428-3179
Practice Address - Street 1:5730 WARD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1300
Practice Address - Country:US
Practice Address - Phone:303-422-6331
Practice Address - Fax:303-422-6379
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA-3446363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical