Individual
SAMANTHA PERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-5055
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-5055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1665966
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0999851
CO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APN.0999851-NP
CO
Other
Enumeration date
04/12/2024
Last updated
09/02/2024
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