Individual
BONITA R NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2648172
FL
367A00000X
Advanced Practice Midwife
Primary
48620
CO
367A00000X
Advanced Practice Midwife
6201
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019051
KAISER COMMERCIAL NUMBER
CO
05
—
07486202
—
CO
05
—
876401
—
AZ
Enumeration date
06/23/2006
Last updated
06/14/2021
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