Healthcare Provider Details

I. General information

NPI: 1326334640
Provider Name (Legal Business Name): RACHEL NICOLE LOVELADY MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL NICOLE DEERY MSN, APRN, FNP-BC

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

IV. Provider business mailing address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-7055
  • Fax: 720-390-5188
Mailing address:
  • Phone: 720-878-7055
  • Fax: 720-390-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0990883
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: