Amanda Gail Heinrichs Tyacke, RN
Registered Nurse in Denver, CO. Individual provider (NPI-1).
NPI number1457553992
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457553992
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Gail Heinrichs Tyacke
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 111324 | CO | Yes |
Practice location
4600 Hale PkwySuite 400
Denver, CO 80220-4020
Phone 303-280-0900 · Fax 303-280-3858
Mailing address
5433 S Versailles StAurora, CO 80015-6526
Phone 720-876-1171 · Fax 303-280-3858
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