Individual
MS. UINTAH SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 WADSWORTH BYPASS, ARVADA, CO 80003-4838
(303) 275-7517
Mailing address
6303 WADSWORTH BYPASS, ARVADA, CO 80003-4838
(303) 275-7517
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
140808
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54383234
—
CO
Enumeration date
10/16/2006
Last updated
07/08/2007
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