Individual
MRS. MARIANILDA ORRACA VANDERZYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7031
(303) 239-7088
Mailing address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7031
(303) 239-7088
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
179452
CO
163WC1500X
Community Health Registered Nurse
552912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23322314
—
CO
Enumeration date
01/10/2008
Last updated
01/24/2008
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