MEDICARE: DONNA GUTTERSOHN

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	385H00000X	Respite Care	0192219	CO

General Provider Information

NPI Number	:	1104200955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA GUTTERSOHN

Provider Business Mailing Address
First Line	:	9879 E FLORIDA PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80247-7342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 W COLFAX AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1513
Country	:	US
Telephone Number	:	720-422-5938
Fax Number	:

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

Provider Enumeration Date	:	07/10/2015
Last Update Date	:	07/10/2015

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Directions to “ DONNA GUTTERSOHN ” Practice Location

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