Individual
DIANA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3482 BROADWAY ST, BOULDER, CO 80304-1824
(303) 413-7500
(303) 441-1452
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1175
(303) 441-1452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN. 1632700
CO
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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