Individual
MRS. DENISE MARIE BARETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6719
Mailing address
1400 CONSTITUTION AVE, FORT COLLINS, CO 80521-4496
(970) 407-9326
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
86999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51580730
—
CO
Enumeration date
05/29/2007
Last updated
07/08/2007
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