Individual
SINTAYEHU A TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1602 S PARKER RD STE 107, DENVER, CO 80231-2920
(720) 273-7889
Mailing address
1602 S PARKER RD STE 107, DENVER, CO 80231-2920
(720) 273-7889
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
04P550
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216066021
—
CO
Enumeration date
10/22/2019
Last updated
10/22/2019
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