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NPI Code Detail

MEDICARE: JODIE LOVE R.N.

MEDICARE: JODIE LOVE R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0003XInpatient Obstetric Registered Nurse0127075CO

General Provider Information

NPI Number : 1013680180
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODIE LOVE R.N.
Provider Business Mailing Address
First Line : 1975 N GRANT ST UNIT 123
Second Line :
City : DENVER
State : CO
Zip : 80203-1127
Country : US
Telephone Number : 303-506-9295
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-506-9295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2021
Last Update Date : 07/26/2021

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