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Individual

WAYNE ECKENROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-1628386
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995680
CO

Other

Enumeration date
03/24/2017
Last updated
04/22/2021
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