Individual
MARY ELISE NARDECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2055 N HIGH ST STE 370, DENVER, CO 80205-5545
(303) 839-6001
(303) 839-6033
Mailing address
2055 N HIGH ST STE 370, DENVER, CO 80205-5545
(303) 839-6001
(303) 839-6033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005316
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162959
—
CO
Enumeration date
04/25/2018
Last updated
09/27/2019
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