Luna, Mary T

Luna, Mary T is an sole proprietor health care provider with primary practice located at 1056 E 19Th Ave B251, Denver CO 80218-1007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Luna, Mary T can be contacted via phone (303) 837-2868.

Contact Information

Primary practice address
1056 E 19Th Ave B251 Denver CO 80218-1007
Phone: (303) 837-2868
Fax: (303) 764-8694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 87664 Colorado

Profile Details

NPI number 1942394507
LBN Legal business name Luna, Mary T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jan 22nd, 2013 - about 12 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 1942394507 NPPES
Colorado MEDICAID 56228325

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