Healthcare Provider Details

I. General information

NPI: 1982543187
Provider Name (Legal Business Name): NAHOME WOLDE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6352 S RIFLE ST
AURORA CO
80016-3182
US

IV. Provider business mailing address

6352 S RIFLE ST
AURORA CO
80016-3182
US

V. Phone/Fax

Practice location:
  • Phone: 303-888-0938
  • Fax:
Mailing address:
  • Phone: 303-888-0938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number122
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: