Basic Information
| Provider Information | |||||||||
| NPI: | 1164545422 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FREELANCE ASSISTANTS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1661 S TRENTON CT | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802315686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037555510 | ||||||||
| FaxNumber: | 3037557104 | ||||||||
| Practice Location | |||||||||
| Address1: | 1661 S TRENTON CT | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802315686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037555510 | ||||||||
| FaxNumber: | 3037557104 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ROCHE | ||||||||
| AuthorizedOfficialFirstName: | JUDY | ||||||||
| AuthorizedOfficialMiddleName: | WULF | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER FREELANCE ASSISTANTS INC | ||||||||
| AuthorizedOfficialTelephone: | 3037555510 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN, CRNFA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WR0006X | 55122 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.