Individual
THERESA MAUREEN ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
8101 E LOWRY BLVD STE 260, DENVER, CO 80230-7197
(720) 859-8222
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0991069
CO
Other
Enumeration date
04/23/2014
Last updated
07/26/2024
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