Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37682 | CO |
N | 111NI0900X | Internist | 37682 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | 37682 | CO |
NPI | 1285724864 |
---|---|
Provider Name | Jean Youngwerth |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 20/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84587873 | (05) | CO |