Individual
COLLEEN R NEWVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2831 W 133RD AVE, BROOMFIELD, CO 80020-5263
(303) 350-0441
Mailing address
2831 W 133RD AVE, BROOMFIELD, CO 80020-5263
(303) 503-0041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995880-NP.
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-186-0119
DRIVER LICENSE
CO
Enumeration date
10/19/2020
Last updated
10/19/2020
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