Healthcare Provider Details

I. General information

NPI: 1295605350
Provider Name (Legal Business Name): MARGARET ANNE KAZEMIAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ANNE JAEGER RN

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

1714 S HUMBOLDT ST
DENVER CO
80210-3342
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number1666742
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: