Organization
BLUEWATER DREAM, LTD
Active
Other names
Passport Health Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE D REESMAN R.N. (EXECUTIVE DIRECTOR)
(303) 442-8728
Entity
Organization
Contact information
Practice address
405 URBAN ST, SUITE 330, LAKEWOOD, CO 80228-1211
(303) 442-8728
(303) 984-1590
Mailing address
405 URBAN ST, SUITE 330, LAKEWOOD, CO 80228-1211
(303) 442-8728
(303) 984-1590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128299
CO
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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