SearchColorado164W00000X

Shirley Gragg, LPN II,NREMT-B,CIC-C

NPI 1366973109 · on the registry since 2017 · sole proprietor

Practice

Address
2118 Chatalet Ln
Pueblo, CO 81005
Phone
(719) 564-2000
Organisation at this address
Hope Haven Therapy Pllc
South Pueblo Medical Investors, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
146N00000X
Licence states on file
FL, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado