Healthcare Provider Details

I. General information

NPI: 1952918492
Provider Name (Legal Business Name): MEGAN RAFFLE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6870 W 52ND AVE STE 207
ARVADA CO
80002-3953
US

IV. Provider business mailing address

6870 W 52ND AVE STE 207
ARVADA CO
80002-3953
US

V. Phone/Fax

Practice location:
  • Phone: 303-487-0834
  • Fax:
Mailing address:
  • Phone: 303-487-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1043
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: