Provider Demographics
NPI:1699214551
Name:DIAMANT-YEFET, CLAIRE (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:DIAMANT-YEFET
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9137 E MINERAL CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3421
Mailing Address - Country:US
Mailing Address - Phone:303-953-9405
Mailing Address - Fax:303-284-9624
Practice Address - Street 1:9137 E MINERAL CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3421
Practice Address - Country:US
Practice Address - Phone:303-953-9405
Practice Address - Fax:303-284-9624
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0992950207QA0505X
CO201597390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty