Individual
AMANDA JAIKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
10065 E HARVARD AVE STE 400, DENVER, CO 80231-5943
(303) 614-1400
Mailing address
600 W COUNTY LINE RD APT 12-001, HIGHLANDS RANCH, CO 80129-6521
(228) 355-0187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1623577
CO
363LF0000X
Family Nurse Practitioner
Primary
0990960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024613
KAISER COMMERCIAL NUMBER
CO
05
—
73879738
—
CO
Enumeration date
01/17/2014
Last updated
04/05/2016
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