Healthcare Provider Details

I. General information

NPI: 1447653845
Provider Name (Legal Business Name): ALICIA DOTTERRER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 09/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6310 E EXPOSITION AVE
DENVER CO
80224-1260
US

IV. Provider business mailing address

6310 E EXPOSITION AVE
DENVER CO
80224-1260
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-1630
  • Fax:
Mailing address:
  • Phone: 303-320-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0991385-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: