MEDICARE: DR. NANCY ARKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	27194	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	016773	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1669523247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY ARKO MD

Provider Business Mailing Address
First Line	:	4770 EAST ILIFF AVE SUITE 219
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222
Country	:	US
Telephone Number	:	303-753-1009
Fax Number	:	303-757-7994

Provider Business Practice Location Address
First Line	:	4770 EAST ILIFF AVE SUITE 219
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6049
Country	:	US
Telephone Number	:	303-753-1009
Fax Number	:	303-757-7994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	06/25/2010

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