Individual
DANIEL GAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5091 N XENIA ST, DENVER, CO 80238-3755
(408) 621-1014
Mailing address
5091 N XENIA ST, DENVER, CO 80238-3755
(408) 621-1014
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0996804
CO
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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