Provider Demographics
NPI:1437344462
Name:ABUZER, JEHAN FAYEZ (RN)
Entity Type:Individual
Prefix:MISS
First Name:JEHAN
Middle Name:FAYEZ
Last Name:ABUZER
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 1:3121 S TAMARAC DR
Mailing Address - Street 2:H307
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4343
Mailing Address - Country:US
Mailing Address - Phone:720-519-6222
Mailing Address - Fax:
Practice Address - Street 1:8383 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3007
Practice Address - Country:US
Practice Address - Phone:303-275-7778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45090164W00000X
CO1618896163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse