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NPI Code Detail

MEDICARE: MONIQUE WARD RN

MEDICARE:   MONIQUE  WARD  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse191654CO

General Provider Information

NPI Number : 1528445525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE WARD RN
Provider Business Mailing Address
First Line : 10077 CARSON WAY
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-9536
Country : US
Telephone Number : 720-201-5454
Fax Number :
Provider Business Practice Location Address
First Line : 10077 CARSON WAY
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-9536
Country : US
Telephone Number : 720-201-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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