Mrkvicka, Diane Agnes

Mrkvicka, Diane Agnes is an individual health care provider with primary practice located at 360 Peak One Drive Suite 230, Frisco CO 80443. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Mrkvicka, Diane Agnes can be contacted via phone (970) 668-9195.

Contact Information

Primary practice address
360 Peak One Drive Suite 230 Frisco CO 80443
Phone: (970) 668-9195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 74772 Colorado

Profile Details

NPI number 1093907453
LBN Legal business name Mrkvicka, Diane Agnes
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 9th, 2007 - about 17 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 1093907453 NPPES
Colorado MEDICAID 80582834

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