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Individual

MISS CHERYL A NISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS RN

Contact information

Practice address
431 WRIGHT ST APT 105, LAKEWOOD, CO 80228-1114
(508) 813-1280
Mailing address
431 WRIGHT ST APT 105, LAKEWOOD, CO 80228-1114
(508) 813-1280

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161308
CO

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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