Individual
THERESA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 344-7360
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 344-7360
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
49580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004241
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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