Individual
MARIA S RAHARDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2762
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2762
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60015757
WA
Other
Enumeration date
10/18/2008
Last updated
09/06/2023
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