Basic Information
Provider Information
NPI: 1710646096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUMARI
FirstName: MONIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4831 S TEMPE ST
Address2:  
City: AURORA
State: CO
PostalCode: 800155548
CountryCode: US
TelephoneNumber: 7202990317
FaxNumber:  
Practice Location
Address1: 6060 E ILIFF AVE
Address2:  
City: DENVER
State: CO
PostalCode: 802225721
CountryCode: US
TelephoneNumber: 3037594221
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/14/2021
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0000XRN.0182275COY Nursing Service ProvidersRegistered NurseGeneral Practice

No ID Information.


Home