Madison Street Company Nurse Practitioner LLC

NPI #1376985168 in Denver, Colorado

Provider Information

NPI Number: 1376985168
Entity Type: Organization
Organization Name: Madison Street Company Nurse Practitioner LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jul 23, 2013
Last Updated: Apr 25, 2014

Practice Location

Address: 55 MADISON ST
Address 2: STE 355
City: Denver
State: Colorado
ZIP Code: 80206-5419
Phone: (303) 377-2020

Authorized Official

Name: MR. DAN ZEBARTH, VP
Title: PRACTICE ADMINISTRATOR
Phone: (303) 468-0432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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