Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0003078-C-NP | CO |
NPI | 1023681129 |
---|---|
Provider Name | Kristina Elena Danovich |
First Address | Englewood, CO 80113-2517 |
Second Address | Englewood, CO 80113-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2021 |
Last Update Date | 19/07/2021 |