MEDICARE: MRS. ALYCIA QURAINI 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	1651697	CO

General Provider Information

NPI Number	:	1215415609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALYCIA QURAINI RN

Provider Business Mailing Address
First Line	:	20426 E LEHIGH PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-6094
Country	:	US
Telephone Number	:	303-907-4097
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 FRANKLIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5494
Country	:	US
Telephone Number	:	303-907-4097
Fax Number	:

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	07/30/2018

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