Jennifer Holly Domenico-Brock in Englewood - Family
Jennifer Holly Domenico-Brock - NPI 1558582056
Jennifer Holly Domenico-Brock is a Family in Englewood, Colorado. Jennifer Holly Domenico-Brock practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Holly Domenico-Brock is 1558582056. The last update date is 2019-09-06.
Jennifer Holly Domenico-Brock's current location address is 3701 S Broadway, Englewood, Colorado. You can contact this provider via phone number 3033606276. The mailing address for Jennifer Holly Domenico-Brock is 3701 S Broadway, Englewood, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Holly Domenico-Brock |
|---|---|
| Address | 3701 S Broadway, Englewood, Colorado |
| Phone Number | 3033606276 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1558582056 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2019-09-06 |
Provider Mailing Address Detail
| Address | 3701 S Broadway |
|---|---|
| City | Englewood |
| State | Colorado (CO) |
| Post Code | 801133611 |
| Phone Number | 3033606276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APN.0003864- |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Jennifer Holly Domenico-Brock by the Centers for Medicare & Medicaid Services?
The Jennifer Holly Domenico-Brock has been issued the NPI (National Provider Identifier) 1558582056. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer Holly Domenico-Brock's facilities are geographically located?
The facilities of Jennifer Holly Domenico-Brock are physically situated at the following location: 3701 S Broadway, Englewood, CO, 801133611.
What is the Jennifer Holly Domenico-Brock's area of specialization and corresponding taxonomy classification?
The Jennifer Holly Domenico-Brock's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Jennifer Holly Domenico-Brock receive its 1558582056 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Holly Domenico-Brock was assigned its 1558582056 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jennifer Holly Domenico-Brock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Holly Domenico-Brock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-06.
NPI Number: 1720081763
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