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NPI Code Detail

MEDICARE: MS. DENISE SHAREN KAWECKI FNP-C

MEDICARE: MS. DENISE SHAREN KAWECKI FNP-C
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 PractitionerRN.0164963CO
2363L00000XNurse PractitionerAPN.0004990-NPCO

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 : 1528284031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE SHAREN KAWECKI FNP-C
Provider Business Mailing Address
First Line : 5450 WESTERN AVE
Second Line : SUITE B
City : BOULDER
State : CO
Zip : 80301-2709
Country : US
Telephone Number : 303-415-8820
Fax Number : 303-938-3499
Provider Business Practice Location Address
First Line : 101 ERIE PKWY STE 201E
Second Line :
City : ERIE
State : CO
Zip : 80516-4072
Country : US
Telephone Number : 303-415-8820
Fax Number : 303-938-3499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 01/15/2020

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