Healthcare Provider Details

I. General information

NPI: 1417277542
Provider Name (Legal Business Name): DOLORES ANNE SANGIULIANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 RALSTON RD
ARVADA CO
80004-4551
US

IV. Provider business mailing address

11005 RALSTON RD
ARVADA CO
80004-4551
US

V. Phone/Fax

Practice location:
  • Phone: 303-431-0844
  • Fax: 303-467-5353
Mailing address:
  • Phone: 303-431-0844
  • Fax: 303-467-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95297
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: