# BLUE NILE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLUE NILE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346763448
- **Authorized official:** MRS. HANA MENGESHA REGISTERED NURSE (OWNER)
- **Authorized official phone:** (720) 400-4412

## Contact information

- **Practice address:** 11275 E MISSISSIPPI AVE STE 2S3, AURORA, CO 80012-2825
- **Practice address phone:** (720) 400-4412
- **Mailing address:** 11275 E MISSISSIPPI AVE STE 2S3, AURORA, CO 80012-2825
- **Mailing address phone:** (720) 400-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/21/2022