Healthcare Provider Details

I. General information

NPI: 1700044310
Provider Name (Legal Business Name): KIMBERLY ANN SEXTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANN MERZ

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 S POTOMAC ST SUITE 170
AURORA CO
80012-4508
US

IV. Provider business mailing address

4900 S MONACO ST SUITE 210
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-481-0035
  • Fax: 303-752-5240
Mailing address:
  • Phone: 303-481-0035
  • Fax: 303-752-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number114233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: