Individual
JOSEPH STEPHEN JACARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0006
Mailing address
2912 W 40TH AVE, DENVER, CO 80211-2025
(717) 319-2109
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0995323
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0995323
CO
Other
Enumeration date
01/31/2020
Last updated
03/03/2020
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