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Nursing Service Providers Registered Nurse Psychiatric/Mental Health

Provider NPI: 1023259587

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 303-615-9999  Fax: 720-778-5850

Business Mailing Address:
PO BOX 173362, CAMPUS BOX 20  DENVER, CO 80217-3362 US
Tel: 303-615-9999  Fax: 720-778-5850

NPI Information:
NPI: 1023259587
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
CORXP 0100593
N163WP0809XNursing Service Providers
Registered Nurse
N171100000XOther Service Providers
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y364SP0809XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 364SP0809X





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