MEDICARE: JESSICA ENGLER RN

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
1	163W00000X	Registered Nurse	RN.1649379	CO

General Provider Information

NPI Number	:	1033862594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ENGLER RN

Provider Business Mailing Address
First Line	:	13548 VALLEJO ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1052
Country	:	US
Telephone Number	:	720-369-8619
Fax Number	:

Provider Business Practice Location Address
First Line	:	10350 E DAKOTA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-1309
Country	:	US
Telephone Number	:	303-471-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

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