Healthcare Provider Details

I. General information

NPI: 1447559232
Provider Name (Legal Business Name): ANN JEANETTE ESKILDSEN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2011
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11059 E BETHANY DR STE 200
AURORA CO
80014-2637
US

IV. Provider business mailing address

11059 EAST BETHANY DR. STE 200
AURORA CO
80014
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2300
  • Fax: 303-617-2397
Mailing address:
  • Phone: 303-617-2300
  • Fax: 303-617-2397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number007636
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: