Shawn Quick, FNP

Individual provider Active NPI Family Nurse Practitioner · Crestone, CO

NPI 1962451963 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1962451963
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
112719 (CO)
Practice address
176 Camino Baca Grande,
Crestone, CO 81131-0983
Phone
(719) 256-5118
Fax
(719) 256-5518
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
112719COMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112719 CO Yes

Addresses

Primary practice location

176 Camino Baca Grande,
Crestone, CO 81131-0983

Mailing address

PO Box 983
176 Camino Baca Grande
Crestone, CO 81131-0983
Phone (719) 256-5118

Other providers in Crestone, CO

All providers in Crestone, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.