Individual
MRS. ANELLA SUSAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
14613 E ATLANTIC DR, AURORA, CO 80014-1513
(303) 755-1566
(303) 745-3990
Mailing address
14613 E ATLANTIC DR, AURORA, CO 80014-1513
(303) 755-1566
(303) 745-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84136
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92858236
—
CO
Enumeration date
03/20/2007
Last updated
07/08/2007
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