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NPI Code Detail

MEDICARE: MARIAN AMARANTO NP

MEDICARE: MARIAN AMARANTO 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
1363LP0200XPediatric Nurse PractitionerNN048289NJ
2363LP0200XPediatric Nurse Practitioner40463CO

General Provider Information

NPI Number : 1417921396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAN AMARANTO NP
Provider Business Mailing Address
First Line : 183 S 18TH AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2472
Country : US
Telephone Number : 303-659-4248
Fax Number : 303-659-4283
Provider Business Practice Location Address
First Line : 183 S 18TH AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2472
Country : US
Telephone Number : 303-659-4248
Fax Number : 303-659-4283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 02/02/2012

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Directions to “ MARIAN AMARANTO NP” Practice Location

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