Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0991503 | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0991503 | CO |
NPI | 1033515895 |
---|---|
Provider Name | Ronda Orndoff |
First Address | Denver, CO 80256-0825 |
Second Address | Pueblo, CO 81008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2014 |
Last Update Date | 15/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
99006375 | (05) | CO |