Individual
MISS PHYLLIS LORRAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10065 E HARVARD AVE STE 400, DENVER, CO 80231-5943
(303) 614-1492
(303) 614-1505
Mailing address
6024 S MEADOW LARK PL, CASTLE ROCK, CO 80109-2842
(303) 660-1339
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
123597
CO
163WM0102X
Maternal Newborn Registered Nurse
123597
CO
163WP1700X
Perinatal Registered Nurse
123597
CO
163WX0002X
High-Risk Obstetric Registered Nurse
123597
CO
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
123597
CO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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