Individual
BRYCE CHARLES ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
15400 E 14TH PL, AURORA, CO 80011-5818
(303) 870-4620
Mailing address
6162 S. WILLOW DRIVE, SUITE 100, GREENWOOD VILLAGE, CO 80111-5114
(303) 220-9200
(303) 220-9208
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
164390
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89886062
—
CO
Enumeration date
12/04/2006
Last updated
09/24/2010
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