Individual
KRISTEN RENEE LIDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
9653 E 5TH AVE UNIT 11-303, DENVER, CO 80230-7287
(602) 708-9035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183447
AZ
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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