Individual
JERIAH-TRAVIS BUISON MENDARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, APRN
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-5000
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10240119
CO
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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