Individual
ANDREA SCIAMMARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
.M.D.
Contact information
Practice address
1925 E ORMAN AVE STE G12, PUEBLO, CO 81004-3563
(719) 564-1800
(719) 564-1865
Mailing address
1925 E ORMAN AVE STE G12, PUEBLO, CO 81004-3563
(719) 564-1800
(719) 564-1865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR0049293
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40622282
—
CO
Enumeration date
07/17/2008
Last updated
10/21/2013
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