Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 107074 | CO |
NPI | 1003997743 |
---|---|
Provider Name | Ms. Janet Ruth Dubrick |
First Address | Highlands Ranch, CO 80129-4628 |
Second Address | Englewood, CO 80113-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |