Individual
JANE ELIZABETH BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6820
(303) 306-7753
Mailing address
P.O. BOX 173891, DENVER, CO 80217-9294
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
96228
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25088572
—
CO
Enumeration date
02/20/2007
Last updated
07/26/2013
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