Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 991382 | CO |
NPI | 1003205295 |
---|---|
Provider Name | Suzanne Marie Ehler |
First Address | Denver, CO 80220-3908 |
Second Address | Denver, CO 80220-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2015 |
Last Update Date | 27/01/2022 |