Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0050139 | CO |
N | 207R00000X | Internist | 0050139 | CO |
N | 111NI0900X | Internist | 0050139 | CO |
NPI | 1215101019 |
---|---|
Provider Name | Jenny Marie Stitt |
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 | 14/04/2008 |
Last Update Date | 24/06/2013 |