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Individual

MS. KRISTA L ENNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 360-6276
(303) 467-5355
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 360-6276
(303) 467-5355

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0003305
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89820771
CO
Enumeration date
09/29/2011
Last updated
10/16/2023
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