Individual
MRS. JENNIFER B DE GORTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6749
Mailing address
3531 S LOGAN ST UNIT D408, ENGLEWOOD, CO 80113-3700
(303) 788-6749
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118813
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-4885
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56370326
—
CO
Enumeration date
07/14/2006
Last updated
11/17/2025
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