Individual
MS. MICHELLE KENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 SPRUCE ST STE 100, DENVER, CO 80230-7127
(303) 394-2828
(303) 320-0242
Mailing address
200 SPRUCE ST STE 100, DENVER, CO 80230-7127
(303) 394-2828
(303) 320-0242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110822
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110822
COLORADO LICENSE
CO
Enumeration date
07/22/2008
Last updated
07/22/2008
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