Healthcare Provider Details

I. General information

NPI: 1730099797
Provider Name (Legal Business Name): ALLISON ANNE MAISELLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 E EXPOSITION AVE # 1
AURORA CO
80012-2623
US

IV. Provider business mailing address

14701 E EXPOSITION AVE # 1
AURORA CO
80012-2623
US

V. Phone/Fax

Practice location:
  • Phone: 303-614-7300
  • Fax:
Mailing address:
  • Phone: 303-614-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0025729
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: