Provider Demographics
NPI:1184261117
Name:SPAHIC, AMELA (RN)
Entity type:Individual
Prefix:
First Name:AMELA
Middle Name:
Last Name:SPAHIC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMELA
Other - Middle Name:
Other - Last Name:TALIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2074 S IOLA CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1027
Mailing Address - Country:US
Mailing Address - Phone:720-280-6356
Mailing Address - Fax:
Practice Address - Street 1:2074 S IOLA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1027
Practice Address - Country:US
Practice Address - Phone:720-280-6356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1623183163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical