Individual
DARLA JEAN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
500 QUIVAS ST, DENVER, CO 80204-4916
(303) 602-6797
(303) 602-6804
Mailing address
500 QUIVAS ST, DENVER, CO 80204-4916
(303) 602-6797
(303) 602-6804
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0078867
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033254925
—
CO
Enumeration date
06/24/2014
Last updated
06/24/2014
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