Healthcare Provider Details

I. General information

NPI: 1891529137
Provider Name (Legal Business Name): ANDREA KURLAND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S POTOMAC ST
AURORA CO
80012-5411
US

IV. Provider business mailing address

11268 STAR STREAK RD
LITTLETON CO
80125-1894
US

V. Phone/Fax

Practice location:
  • Phone: 303-695-2600
  • Fax:
Mailing address:
  • Phone: 732-407-4121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1621695
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: