Healthcare Provider Details

I. General information

NPI: 1326341959
Provider Name (Legal Business Name): DOREEN M SEBRING NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 FRANKLIN ST
DENVER CO
80218-1126
US

IV. Provider business mailing address

1835 FRANKLIN ST
DENVER CO
80218-1126
US

V. Phone/Fax

Practice location:
  • Phone: 303-837-7290
  • Fax:
Mailing address:
  • Phone: 303-837-7290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number97833
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number97833
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: