Organization
REBECCA FUENTES FELTY NP LLC
Active
Organization
REBECCA FUENTES FELTY NP LLC
Active
Parent organization
REBECCA FUENTES FELTY NP
Organization subpart
Yes
Provider details
NPI number
Legal business name
REBECCA FUENTES FELTY NP
Authorized official
REBECCA FUENTES FUENTES FELTY NP (OWNER)
(720) 985-5362
Entity
Organization
Contact information
Practice address
2329 W MAIN ST STE 203, LITTLETON, CO 80120-8200
(720) 985-5362
Mailing address
2329 W MAIN ST STE 203, LITTLETON, CO 80120-8200
(720) 985-5362
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0990735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27722538
—
CO
Enumeration date
10/07/2016
Last updated
10/07/2016
Update your record
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