Individual
MS. ANN ELIZABETH HETRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
950 BROADWAY, DENVER, CO 80203-2706
(303) 813-7633
(303) 813-7673
Mailing address
2883 S LOCUST ST, DENVER, CO 80222-7114
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
102206
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
40551
CO
363LW0102X
Women's Health Nurse Practitioner
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62881248
—
CO
Enumeration date
06/08/2006
Last updated
07/08/2007
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