IndividualActive
Shannon Proctor, RN, LAC
NPI 1881708618 · Addiction (Substance Use Disorder) Registered Nurse · Colorado Springs, CO
Provider details
- NPI number
- 1881708618
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN, LAC
- Sex
- Female
- Sole proprietor
- No
- License
- 163680 (CO)
Specialties & taxonomies
Nursing Service Providers
Practice location
115 Parkside Dr
Colorado Springs, CO 80910-3130
Phone: (719) 572-6340
Fax: (719) 447-4791
Approximate (ZIP-level) locationGet directions
Mailing address
312 E Yampa St
Colorado Springs, CO 80903-2945
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.