Provider Demographics
NPI:1023393006
Name:SEFTEL-KIMLEY, JANINE LISA (RN)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:LISA
Last Name:SEFTEL-KIMLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 S FULTON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4726
Mailing Address - Country:US
Mailing Address - Phone:303-880-8069
Mailing Address - Fax:
Practice Address - Street 1:3380 S FULTON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4726
Practice Address - Country:US
Practice Address - Phone:303-880-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO113069163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse