Individual
RAEANN SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2919 VALMONT RD STE 204, BOULDER, CO 80301-1350
(303) 938-1110
Mailing address
2919 VALMONT RD STE 204, BOULDER, CO 80301-1350
(303) 938-1110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0997636-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0997636-NP
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
06/22/2022
Last updated
06/22/2022
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