Healthcare Provider Details

I. General information

NPI: 1538074729
Provider Name (Legal Business Name): WOMENS CHOICE HEALTHCARE CLINIC OF CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S POTOMAC ST STE 250
AURORA CO
80012-4534
US

IV. Provider business mailing address

1421 S POTOMAC ST STE 250
AURORA CO
80012-4534
US

V. Phone/Fax

Practice location:
  • Phone: 850-585-6410
  • Fax:
Mailing address:
  • Phone: 850-585-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CANDACE COOLEY
Title or Position: OWNER
Credential:
Phone: 850-585-6410