Provider Demographics
NPI:1861688129
Name:LINKER LOVELACE, DEANA KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:KAY
Last Name:LINKER LOVELACE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DEANA
Other - Middle Name:KAY
Other - Last Name:LOVELACE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:5592 W FAIR DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3715
Mailing Address - Country:US
Mailing Address - Phone:720-232-6414
Mailing Address - Fax:
Practice Address - Street 1:5257 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2228
Practice Address - Country:US
Practice Address - Phone:303-972-5307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99787163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management