Individual
AMANDA M MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
2352 GLENARM PL, DENVER, CO 80205-3127
(915) 208-1333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1631607
CO
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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