Individual
MARY JAYNE PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN. BSN.
Contact information
Practice address
6 GARDEN CTR, BROOMFIELD, CO 80020-1730
(720) 887-2247
(303) 887-2229
Mailing address
6 GARDEN CTR, BROOMFIELD, CO 80020-1730
(720) 887-2247
(303) 887-2229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
180175
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20956363
—
CO
Enumeration date
05/04/2007
Last updated
08/20/2014
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