Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN.0994885-NP | CO |
NPI | 1003286303 |
---|---|
Provider Name | Diane Asher |
First Address | Lafayette, CO 80026-7093 |
Second Address | Thornton, CO 80229-4537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2015 |
Last Update Date | 14/05/2021 |