Individual
LAUREN E IMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, DNP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
3611 NW 60TH ST, SEATTLE, WA 98107-2643
(808) 227-3419
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0997737
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2022
Last updated
07/13/2022
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