Most Relevant Information
Provider Data
| NPI Number: | 1003370040 |
| Provider Name: | AMANDA M MARDIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1631607 |
Most Important Dates
| Enumeration Date: | 01/23/2019 |
| Last Updated: | 01/23/2019 |
Provider Practice Location
10240 PARK MEADOWS DR
LONE TREE
CO
801245425
Practice Location Phone/Fax
| Phone: | 3033384545 |
| Fax: |
Provider Mailing Location
2352 GLENARM PL
DENVER
CO
802053127
Provider Mailing Phone/Fax
| Phone: | 9152081333 |
| Fax: |