Individual
SANTIANA VANMALDEGHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S PERRY ST STE 104B, CASTLE ROCK, CO 80104-1950
(720) 485-3178
(720) 414-0006
Mailing address
1001 S PERRY ST STE 104B, CASTLE ROCK, CO 80104-1950
(720) 485-3178
(720) 414-0006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0187079
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992794-NP
CO
Other
Enumeration date
04/11/2015
Last updated
11/28/2018
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