Provider Demographics
NPI:1538742820
Name:DARLING, SHANNON (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4333 CORBETT DR # 1216
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6111
Mailing Address - Country:US
Mailing Address - Phone:970-846-3664
Mailing Address - Fax:866-583-7060
Practice Address - Street 1:1136 E STUART ST
Practice Address - Street 2:BUILDING 4 SUITE 101
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-846-3664
Practice Address - Fax:866-583-7060
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0996488363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health