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Individual

DIANE MARIE POULTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, FNP

Contact information

Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
(303) 393-4670
Mailing address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
(303) 393-4670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116385
CO

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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