Provider Demographics
NPI:1336379973
Name:CJV FIRST ASSISTING, LLC
Entity Type:Organization
Organization Name:CJV FIRST ASSISTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARRA
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:303-466-6720
Mailing Address - Street 1:13961 CRAIG WAY
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6055
Mailing Address - Country:US
Mailing Address - Phone:303-466-6720
Mailing Address - Fax:
Practice Address - Street 1:13961 CRAIG WAY
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6055
Practice Address - Country:US
Practice Address - Phone:303-466-6720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111553163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty