Healthcare Provider Details

I. General information

NPI: 1518041193
Provider Name (Legal Business Name): LINDA J MEYERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
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 E BETHANY DR STE 200
AURORA CO
80014-2637
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2331
  • Fax: 303-617-2398
Mailing address:
  • Phone: 303-617-2331
  • Fax: 303-617-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number110093
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: