Provider Demographics
NPI:1699247155
Name:CRETEN, THERESA NICOLE (PA)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:NICOLE
Last Name:CRETEN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5600 S QUEBEC
Mailing Address - Street 2:STE 312A
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:720-754-2296
Mailing Address - Fax:844-669-1725
Practice Address - Street 1:PRESBYTERIAN ST LUKE'S
Practice Address - Street 2:1719 E 19TH AVE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:720-754-2296
Practice Address - Fax:844-669-1725
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2021-07-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant