Healthcare Provider Details

I. General information

NPI: 1871637660
Provider Name (Legal Business Name): MARGARET A REESE RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S HAVANA STREET
AURORA CO
80014-1622
US

IV. Provider business mailing address

811 ITHACA DR
BOULDER CO
80305-5724
US

V. Phone/Fax

Practice location:
  • Phone: 720-536-7736
  • Fax:
Mailing address:
  • Phone: 303-499-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number62552
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: