MS. ANTWONETTE MIXON PROTHRO


Address: 4340 E Kentucky Ave, Suite 462, Glendale, CO 80246-2060
Phone: 3038151914

MS. ANTWONETTE MIXON PROTHRO (NPI# 1275858334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275858334
Entity Type Individual
Full Name MS. ANTWONETTE MIXON PROTHRO
Credential NCPT
Practice Address 4340 E Kentucky Ave
Suite 462
Glendale
CO 80246-2060
Mailing Address 4340 E. Kentucky Avenue
Suite 462
Glendale
CO 80246
Practice Telephone 3038151914
Practice Fax Number 3038151915
Mailing Telephone 3038151914
Mailing Fax Number 3038151915
Enumeration Date 2010-04-01
Last Update Date 2010-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
091720 CO Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4340 E KENTUCKY AVE
SUITE 462
City GLENDALE
State CO
Zip Code 80246-2060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295194876 Rachael Britton, LLC Physical Therapist 4340 E Kentucky Ave, Suite 147, Glendale, CO 80246-2060 2016-02-11
1225308646 Carolyn Ann Lucas Massage Therapist 4340 E Kentucky Ave, Suite 446, Glendale, CO 80246-2060 2012-01-02
1598097073 Barbara Elaine Doucette Chiropractor 4340 E Kentucky Ave, Ste. 437, Glendale, CO 80246-2060 2010-02-08
1659541795 Mile High Medical Service Home Health 4340 E Kentucky Ave, Suite 446, Glendale, CO 80246-2060 2008-03-05
1760608459 Becky Riedo Speech-Language Pathologist 4340 E Kentucky Ave, Suite 248, Glendale, CO 80246-2060 2007-04-18

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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972132421 Maryam Jalila Davis Technician, Pathology 5150 N 99th Ave Apt 3091, Glendale, AZ 85305-3034 2020-04-06
1508109216 Az Home Phlebotomy Services Technician, Pathology 7312 N 70th Dr, Glendale, AZ 85303-2109 2013-04-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104438555 Tawanda D Moss Technician, Pathology 10105 E. Virgina Ave. 7-108, Denver, CO 80247 2020-08-18
1831712561 Shalonda Monique Brown Technician, Pathology 155 S Academy Blvd Apt 7, Colorado Springs, CO 80910-2730 2020-05-28
1780025197 Anne Wood Technician, Pathology 2153 Chuckwagon Rd, Ste 101a, Colorado Springs, CO 80919-6500 2013-07-13
1003415407 Katheryn Johnson Technician, Pathology 3914 Sandalwood Ln, Pueblo, CO 81005-2586 2020-10-19
1023132628 Barbara Jane Bader Technician, Pathology 3520 W Oxford Ave, Denver, CO 80236-3108 2007-03-19

Competitor

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City GLENDALE
Zip Code 80246

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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