Individual
AMY TEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
938 BANNOCK ST, DENVER, CO 80204-4028
(303) 602-8347
Mailing address
938 BANNOCK ST, DENVER, CO 80204-4028
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN0105637
CO
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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