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NPI 1588064968

NPI 1588064968 : HEATHER ANITA BRAND FNP : WESTMINSTER, CO

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General NPI Number Information
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    NPI Number           |    1588064968
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER ANITA BRAND FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2014
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    Last Update Date     |    11/07/2020
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Provider Practice Location Address
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    Address Line         |    14300 ORCHARD PKWY 
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    City                 |    WESTMINSTER
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    State                |    CO
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    Zip                  |    80023-9206
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    Country              |    US
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    Telephone            |    303-457-6605
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1097 E 6TH CIR 
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    City                 |    BROOMFIELD
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    State                |    CO
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    Zip                  |    80020-1502
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    Country              |    US
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    Telephone            |    720-501-7951
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    Fax                  |    
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APN.0995973-NP
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    License Number State |    DE
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