Individual
AMY BODETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2388 S TARRYALL WAY, FRANKTOWN, CO 80116-8502
(303) 915-3121
Mailing address
2388 S TARRYALL WAY, FRANKTOWN, CO 80116-8502
(303) 915-3121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0127347
CO
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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