Individual
THOMAS SEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
3885 UPHAM ST, WHEAT RIDGE, CO 80033-4880
(303) 742-0086
Mailing address
4825 SPYGLASS DR, BROOMFIELD, CO 80023-4034
(719) 229-9391
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0994507.NP
CO
Other
Enumeration date
04/10/2019
Last updated
04/15/2019
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