Individual
YEKATERINA PONOMAREVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-6500
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041417604
CO
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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