Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN.0990639-NP | CO |
N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0990639-NP | CO |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0990936 | CO |
NPI | 1598004780 |
---|---|
Provider Name | Alecia Brynda |
First Address | Littleton, CO 80120-4427 |
Second Address | Littleton, CO 80120-4427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37728709 | (05) | CO |