Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 97833 | CO |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 97833 | CO |
NPI | 1326341959 |
---|---|
Provider Name | Doreen M Sebring |
First Address | Denver, CO 80218-1126 |
Second Address | Denver, CO 80218-1126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2010 |
Last Update Date | 21/12/2010 |