Organization
MY DENVER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISATU BAH FNP-BC (CHIEF EXECUTIVE OFFICER)
(303) 257-6623
Entity
Organization
Contact information
Practice address
10717 WYNSPIRE RD, HIGHLANDS RANCH, CO 80130-6926
(303) 257-6623
Mailing address
10717 WYNSPIRE RD, HIGHLANDS RANCH, CO 80130-6926
(303) 257-6623
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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