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NPI Code Detail

MEDICARE: ANGELA M. FELLERS LEMIRE NP

MEDICARE: ANGELA M. FELLERS LEMIRE NP
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
1363L00000XNurse Practitioner117650CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295892578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA M. FELLERS LEMIRE NP
Provider Business Mailing Address
First Line : 7152 E JEWELL AVE
Second Line :
City : DENVER
State : CO
Zip : 80224-2238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 BANNOCK ST
Second Line : MC-2600
City : DENVER
State : CO
Zip : 80204-4505
Country : US
Telephone Number : 303-602-3539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 05/26/2009

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