Individual
JESSICA CUSHMAN DENAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
Mailing address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN1017114
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0994501-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00894795
RAILROAD MEDICARE
DC
Enumeration date
08/20/2009
Last updated
09/16/2019
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