Individual
DIANE GENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5920 MCINTYRE ST, STE 200, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Mailing address
5920 MCINTYRE ST, 300B, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
106168
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87680564
—
CO
Enumeration date
11/18/2005
Last updated
04/12/2017
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