Individual
MS. BRENDA LEE VONSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
308 W BASELINE RD, LAFAYETTE, CO 80026-1719
(303) 554-9000
Mailing address
1309 ALEXANDRIA ST, LAFAYETTE, CO 80026-1830
(303) 666-8102
(303) 665-8695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48681
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07486814
—
CO
Enumeration date
11/06/2006
Last updated
07/08/2007
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