Individual
LAURA JEANNE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NNP-BC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
4526
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4526
CO
Other
Enumeration date
08/11/2010
Last updated
09/03/2010
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