Organization
MADISON STREET COMPANY NURSE PRACTITIONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN ZEBARTH VP (PRACTICE ADMINISTRATOR)
(303) 468-0432
Entity
Organization
Contact information
Practice address
55 MADISON ST, STE 355, DENVER, CO 80206-5419
(303) 377-2020
(303) 377-2022
Mailing address
55 MADISON ST, STE 355, DENVER, CO 80206-5419
(303) 377-2020
(303) 377-2022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44550782
—
CO
Enumeration date
07/23/2013
Last updated
04/25/2014
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