Individual
NISA CHERYL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1635 AURORA CT., SENIOR'S CLINIC, ANSCHUTZ OUTPATIENT PAVILLION, 5TH FLO, AURORA, CO 80045-1614
(720) 848-1030
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP4260
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0004260-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90423348
—
CO
Enumeration date
08/24/2006
Last updated
10/17/2018
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