Individual
EDUARDO ANTONIO MIMIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
2551 W 84TH AVE, WESTMINSTER, CO 80031-3807
(303) 426-2151
Mailing address
DEPARTMENT 1057, DENVER, CO 80291-1057
(303) 486-5405
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CO85069
CO
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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