Individual
CONSTANCE A MCMENAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0990507-NP
CO
363LF0000X
Family Nurse Practitioner
0990507
CO
363LF0000X
Family Nurse Practitioner
APN000725
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080018
CO STATE BOARD OF NURSING/ RN
CO
01
—
0100506
CO STATE BOARD OF NURSING/RXN
CO
01
—
0990507
CO STATE BOARD OF NURSING/ APN
CO
Enumeration date
12/26/2006
Last updated
03/07/2023
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