Individual
JENELLE LYNN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-3042
Mailing address
20018 E BELLEWOOD LN, CENTENNIAL, CO 80015-3421
(303) 913-1048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1627067
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
CO
Enumeration date
02/12/2018
Last updated
02/12/2018
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