Individual
MRS. DANA LYNE JUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
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
363LP0200X
Pediatric Nurse Practitioner
Primary
67781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08929718
—
CO
Enumeration date
10/25/2006
Last updated
08/12/2008
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