Individual
MISS FAITH LEANNE EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6 GARDEN CTR, BROOMFIELD, CO 80020-1730
(720) 887-2212
Mailing address
6 GARDEN CTR, BROOMFIELD, CO 80020-1730
(720) 887-2212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62279254
—
CO
Enumeration date
09/22/2006
Last updated
01/07/2008
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