Individual
MS. CORA JEAN BRODNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-APN
Contact information
Practice address
2100 BROADWAY, COLORADO COALITION FOR THE HOMELESS, DENVER, CO 80205-2526
(303) 296-4996
(303) 296-4436
Mailing address
933 PONTIAC ST, DENVER, CO 80220-4827
(303) 320-0675
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
37631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37631
COLORADO NURSING REGIST.
CO
Enumeration date
03/09/2007
Last updated
07/08/2007
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