Individual
MARIBETH SPOELSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
386158
CA
363L00000X
Nurse Practitioner
Primary
991608
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025893
KAISER COMMERCIAL NUMBER
CO
05
—
24983055
—
CO
05
—
ZZZ24420Z
—
CA
Enumeration date
05/24/2006
Last updated
06/21/2021
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