Individual
ANDREW DIMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Mailing address
4735 JAMESTOWN DR, COLORADO SPRINGS, CO 80918-2725
(719) 213-1389
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1621817
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
0997628-CRNA
CO
Other
Enumeration date
04/25/2022
Last updated
06/14/2022
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