# EXEMPLA DIABETES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730333683
- **Authorized official:** MS. AMY DAWN BRADSHAW R.D., CDE (DIABETES EDUCATOR)
- **Authorized official phone:** (303) 403-7930

## Contact information

- **Practice address:** 3455 LUTHERAN PKWY, SUITE 270, WHEAT RIDGE, CO 80033-6028
- **Practice address phone:** (303) 403-7930
- **Practice address fax:** (303) 403-7945
- **Mailing address:** 3455 LUTHERAN PKWY STE 270, WHEAT RIDGE, CO 80033-6034
- **Mailing address phone:** (303) 403-7930
- **Mailing address fax:** (303) 403-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 281P00000X | Chronic Disease Hospital | 0012680 | CO | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 11/05/2008