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Individual

AUDREY L GENTILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0997843.NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0997843.NP
CO

Other

Enumeration date
08/05/2022
Last updated
12/26/2024
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