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Individual

MAKAELA RAE MCNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9191 GRANT ST, THORNTON, CO 80229-4361
(303) 450-4482
(303) 306-7753
Mailing address
PO BOX 172328, DENVER, CO 80217-2328
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0991957-NP
CO
363LF0000X
Family Nurse Practitioner
0991957-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27880052
CO
Enumeration date
09/15/2015
Last updated
04/13/2016
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