Provider Demographics
NPI:1144995507
Name:SHEFLIN, AMY MARIE (PHD, NBC-HWC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:SHEFLIN
Suffix:
Gender:F
Credentials:PHD, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W DRAKE RD STE 31
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2883
Mailing Address - Country:US
Mailing Address - Phone:303-378-3267
Mailing Address - Fax:
Practice Address - Street 1:333 W DRAKE RD STE 31
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2883
Practice Address - Country:US
Practice Address - Phone:303-378-3267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COA-3404358171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach