Individual
JILL PEANASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Mailing address
1630 N EMERSON ST APT 3, DENVER, CO 80218-1415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1636472
CO
163W00000X
Registered Nurse
812031
CA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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