Individual
AMANDA HISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
538 S XENON CT, LAKEWOOD, CO 80228-2819
(303) 503-9786
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1628188
CO
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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