IndividualActive
Ethan Doe
NPI 1134098833 · Case Management Registered Nurse · Boulder, CO
Provider details
- NPI number
- 1134098833
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN.1675791 (CO)
Mailing address
11823 Ridge Pkwy Apt 817
Broomfield, CO 80021-5099
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.