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General NPI Number Information
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NPI Number | 1881189876
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Entity Type | Individual
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Provider Name | COLETTE MICHELLE FISH APRN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1670 BROADWAY FL 6
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City | DENVER
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State | CO
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Zip | 80202-4801
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Country | US
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Telephone | 303-607-2572
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Fax | 406-751-9305
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Provider Business Mailing Address
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Address Line | 8090 E 26TH AVE
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City | DENVER
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State | CO
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Zip | 80238-2488
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Country | US
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Telephone | 904-307-2226
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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.0999169-NP
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License Number State | CO
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