Individual
DENA D BANTA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 245-1220
(970) 245-9148
Mailing address
3289 F 1/4 RD, CLIFTON, CO 81520-7546
(970) 640-8156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0160888
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992451-NP
CO
Other
Enumeration date
06/20/2016
Last updated
07/11/2022
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