Individual
AUDRA JEANETTE THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1830 N FRANKLIN ST, DENVER, CO 80218-1128
(720) 777-9343
Mailing address
1830 N FRANKLIN ST, DENVER, CO 80218-1128
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
124567
CO
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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