Individual
MRS. REBECCA JOYE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1617763
CO
163W00000X
Registered Nurse
284258
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
0990488-NP
CO
363LP0200X
Pediatric Nurse Practitioner
RN284258
MA
Other
Enumeration date
09/12/2008
Last updated
09/10/2012
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