Individual
HOLLY DEFFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 SE GRAPEVINE RD, IDLEDALE, CO 80453-5014
(720) 240-1360
Mailing address
2885 SE GRAPEVINE RD, IDLEDALE, CO 80453-5014
(720) 240-1360
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0191644
CO
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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