Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 43405 | CO |
NPI | 1093890741 |
---|---|
Provider Name | Amy Macritchie |
First Address | Aurora, CO 80040-0876 |
Second Address | Fort Collins, CO 80524-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 07/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
91952820 | (05) | CO |