Individual
PAIGE PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
1550 LAFAYETTE ST, APT 16, DENVER, CO 80218-1562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1618588
CO
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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