Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 25512 | CO |
NPI | 1598892168 |
---|---|
Provider Name | Dr. Nancy A Seibolt |
First Address | Aurora, CO 80014-1622 |
Second Address | Aurora, CO 80014-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 29/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008942 | KAISER-COMMERCIAL NUMBER (01) | |
01255124 | (05) | CO |
E65645 | (02) | CO |