Individual
MRS. AMANDA GAIL HEINRICHS TYACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4600 HALE PKWY, SUITE 400, DENVER, CO 80220-4020
(303) 280-0900
(303) 280-3858
Mailing address
5433 S VERSAILLES ST, AURORA, CO 80015-6526
(720) 876-1171
(303) 280-3858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111324
CO
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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