Individual
DEBRA ANN SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2612 W 101ST PL, DENVER, CO 80260-6138
(303) 460-1031
Mailing address
2612 W 101ST PL, DENVER, CO 80260-6138
(303) 460-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176973
CO
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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