Healthcare Provider Details

I. General information

NPI: 1407308810
Provider Name (Legal Business Name): AMBER ELIZABETH SLOAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10333 E DRY CREEK RD SUITE 100
ENGLEWOOD CO
80112-1560
US

IV. Provider business mailing address

10333 E DRY CREEK RD SUITE 100
ENGLEWOOD CO
80112-1560
US

V. Phone/Fax

Practice location:
  • Phone: 720-471-2284
  • Fax:
Mailing address:
  • Phone: 720-471-2284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number103182
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: