Organization
BLUE NILE CLINIC
Active
Other names
BLUE NILE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANA MENGESHA REGISTERED NURSE (OWNER)
(720) 400-4412
Entity
Organization
Contact information
Practice address
11275 E MISSISSIPPI AVE STE 2S3, AURORA, CO 80012-2825
(720) 400-4412
Mailing address
11275 E MISSISSIPPI AVE STE 2S3, AURORA, CO 80012-2825
(720) 400-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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