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Individual

MICHAEL FUENTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8101 E LOWRY BLVD STE 120, DENVER, CO 80230-7195
(303) 909-4157
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(719) 569-0380

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0200806
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
0992680
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245681675
CO
Enumeration date
06/27/2016
Last updated
03/22/2024
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