Healthcare Provider Details

I. General information

NPI: 1972088334
Provider Name (Legal Business Name): HEIDI DANIELLE SIZEMORE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 S POTOMAC ST STE 300
AURORA CO
80012-4510
US

IV. Provider business mailing address

1747 S JASMINE ST
DENVER CO
80224-2126
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-0822
  • Fax:
Mailing address:
  • Phone: 325-280-1980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0994054-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: