Individual
GINA FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1076 S GAYLORD ST, DENVER, CO 80209-4636
(720) 923-2344
Mailing address
669 S CORONA ST, DENVER, CO 80209-4405
(303) 990-7100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1625437
CO
363LF0000X
Family Nurse Practitioner
Primary
0993132-NP
CO
Other
Enumeration date
04/10/2017
Last updated
10/25/2023
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