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Individual

MS. ALYCE M. KANTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
3495 PIEDMONT RD NE BLDG 91, ATTN MEDICARE ENROLLMENT, ATLANTA, GA 30305-1717
(404) 365-0966

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0993117-NP
CO
363L00000X
Nurse Practitioner
Primary
RN214971
GA
363LA2200X
Adult Health Nurse Practitioner
APN.0993117-NP
CO

Other

Enumeration date
03/24/2017
Last updated
01/07/2022
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