Healthcare Provider Details

I. General information

NPI: 1982123949
Provider Name (Legal Business Name): CAITLIN LIBRANDE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S. PARKER ROAD, BLDG 2, STE 120
AURORA CO
80014-8001
US

IV. Provider business mailing address

2133 S HUMBOLDT ST
DENVER CO
80210-4618
US

V. Phone/Fax

Practice location:
  • Phone: 303-343-9500
  • Fax:
Mailing address:
  • Phone: 303-601-1331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1627472
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0994717
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0994719-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: