Individual
SUSAN MANIFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4200 E 9TH AVE, DENVER, CO 80220-3706
(303) 372-0000
Mailing address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
140116
CO
Other
Enumeration date
07/02/2006
Last updated
11/29/2016
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