Individual provider · Type 1 NPI
Chanda D. Street
Gastroenterology Registered Nurse · Denver, CO
NPI number
1720115736
Active
Practice location
2045 Franklin St
Denver, CO 80205-5437
Mailing address
12176 Kalispell St
Brighton, CO 80603-6916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | 129284 (CO) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1720115736
Chanda D. Street's National Provider Identifier is 1720115736, issued on Feb 27, 2007. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Denver, CO. The record was last updated on Jul 8, 2007.