Individual
BLAINE JARED ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0010127-NP
CO
363LF0000X
Family Nurse Practitioner
NP10127
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0010127-NP
CO
Other
Enumeration date
11/24/2009
Last updated
02/01/2024
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