Search › Colorado › 363LA2100X
Daniel Mirshamsi, APN
NPI 1811400849 · on the registry since 2017
Practice
- Address
- 1600 W 24th St
Pueblo, CO 81003 - Phone
- (719) 546-4312
- Organisation at this address
- State Of Colorado
State Of Colorado
Innovative Surgery And Medicine, Pc
Colorado Mental Health Institute Pueblo
Colorado Mental Health Institute PuebloInferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Additional practice sites
- 3670 Parker Blvd Ste 101, Pueblo, CO
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LF0000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-21
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