Individual
DIANE KAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 332-2274
Mailing address
589 VIRGINIA CANYON ROAD, PO BOX 322, CENTRAL CITY, CO 80427-0322
(303) 582-5492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
42865
CO
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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