Organization
AVISTA ADVENTIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA SANDER SMITH NNP, MHA (NEONATAL NURSE PRACTITIONER)
(303) 673-1102
Entity
Organization
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1100
Mailing address
2855 ROCK CREEK CIR UNIT 254, SUPERIOR, CO 80027-4621
(303) 494-4354
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
90831
CO
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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