Genova, Diane

Genova, Diane is an individual health care provider with primary practice located at 5920 Mcintyre St Ste 200, Golden CO 80403-7445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Genova, Diane can be contacted via phone (720) 434-4876.

Contact Information

Primary practice address
5920 Mcintyre St Ste 200 Golden CO 80403-7445
Phone: (720) 434-4876
Fax: (303) 225-4246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 106168 Colorado

Profile Details

NPI number 1700868247
LBN Legal business name Genova, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700868247 NPPES
Colorado MEDICAID 87680564

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