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General NPI Number Information
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NPI Number | 1164448221
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Entity Type | Individual
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Provider Name | DEBRA ANN IVERSON FNP-C, CNS, BC-ADM
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 10485 N. SHERIDAN BLVD UNIT #200
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City | WESTMINSTER
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State | CO
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Zip | 80020
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Country | US
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Telephone | 303-466-8344
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Fax | 303-586-2250
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Provider Business Mailing Address
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Address Line | 10485 N. SHERIDAN BLVD UNIT #200
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City | WESTMINSTER
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State | CO
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Zip | 80020
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Country | US
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Telephone | 303-466-8344
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Fax | 303-586-2250
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 79473
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0991009
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License Number State | CO
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