Individual
AMANDA BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
140110
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0003590-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35771739
—
CO
Enumeration date
09/07/2006
Last updated
10/17/2018
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