Individual provider · Type 1 NPI

Jannie Maria Bolotnikov, MD, MPH

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1750039145 Active

Practice location

777 Bannock St # MC0108
Denver, CO 80204-4507

Other practice locations

  • 10350 E Dakota Ave, Denver, CO 80247-1314 · (303) 338-4545
  • 12505 East 16th Ave, Aurora, CO 80045 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X0077058 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000X0077058 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750039145

Jannie Maria Bolotnikov, MD, MPH's National Provider Identifier is 1750039145, issued on Mar 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Sep 11, 2026.