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GLORIA MARIE PIETILA RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1356978803
Individual Registrant: GLORIA MARIE PIETILA RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
8294 WILD TIMBER DR FRANKTOWN, CO 80116-8101 US
Tel: 720-315-3052 Fax: --
Tel: 720-315-3052 Fax: --
Contact information for business:
1635 AURORA CT AURORA, CO 80045-2541 US
Tel: 720-848-7194 Fax: --
Tel: 720-848-7194 Fax: --
Registration Information:
NPI: 1356978803
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | CO | 200057 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| REGISTERED NURSE NUMBER- DORA | 200057 | CO | 01 |
