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NPI Code Detail

MEDICARE: HEATHER NICOLE LANE CRNA

MEDICARE:   HEATHER NICOLE LANE  CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPN.0991099-CRNACO

General Provider Information

NPI Number : 1649696410
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER NICOLE LANE CRNA
Provider Business Mailing Address
First Line : 333 W HAMPDEN AVE
Second Line : STE 600
City : ENGLEWOOD
State : CO
Zip : 80110-2336
Country : US
Telephone Number : 720-378-1788
Fax Number :
Provider Business Practice Location Address
First Line : 315 S FRANKLIN ST
Second Line :
City : DENVER
State : CO
Zip : 80209-2608
Country : US
Telephone Number : 720-378-1788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 05/15/2024

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Directions to “ HEATHER NICOLE LANE CRNA” Practice Location

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