Healthcare Provider Details
I. General information
NPI: 1518014760
Provider Name (Legal Business Name): LINNEA STENBERG HORD N.D., MSN, ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6465 GREENWOOD PLAZA BLVD 300, CO030-1000
CENTENNIAL CO
80111-4905
US
IV. Provider business mailing address
6465 GREENWOOD PLAZA BLVD 300, CO030-1000
CENTENNIAL CO
80111-4905
US
V. Phone/Fax
- Phone: 303-718-2960
- Fax: 303-267-3172
- Phone: 303-718-2960
- Fax: 303-267-3172
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 119754 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: