Individual
TINA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 S POTOMAC ST STE 200, AURORA, CO 80012-4538
(720) 343-1550
Mailing address
15446 W 64TH LOOP UNIT E, ARVADA, CO 80007-6445
(720) 251-0119
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0997054-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2021
Last updated
11/16/2021
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