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Individual

REBECCA ANN FUENTES FELTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2329 W MAIN ST STE 203, LITTLETON, CO 80120-8200
(720) 985-5362
(720) 500-3780
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0990735
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27722538
CO
Enumeration date
06/05/2013
Last updated
02/03/2020
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