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NPI Code Detail

MEDICARE: JOANN M. SORRENTINO NP

MEDICARE: JOANN M. SORRENTINO 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 Practitioner40155CO
2363L00000XNurse PractitionerAPN.0002026-NPCO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2500030861OTHERCORR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3010930OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1932175551
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN M. SORRENTINO NP
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5555 E ARAPAHOE RD
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-2312
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 06/18/2021

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