Amy Lea Boren, Registered Nurse
Registered Nurse, General Practice in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1225858582
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1225858582
- Entity type
- Individual (NPI-1)
- Name
- Amy Lea Boren
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2024
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN.0122110 | CO | Yes |
Practice location
939 N 18th StColorado Springs, CO 80904-2947
Phone 719-304-9966
Mailing address
939 N 18th StColorado Springs, CO 80904-2947
Phone 719-482-4644
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