Individual provider · Type 1 NPI
Rupal Deitz
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1275960544
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209010215 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0993149 (CO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1275960544
Rupal Deitz's National Provider Identifier is 1275960544, issued on Oct 2, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Feb 7, 2018.