Healthcare Provider Details

I. General information

NPI: 1073418166
Provider Name (Legal Business Name): BIG PHISH INVESTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22775 E AURORA PKWY UNIT C2
AURORA CO
80016-6089
US

IV. Provider business mailing address

22775 E AURORA PKWY UNIT C2
AURORA CO
80016-6089
US

V. Phone/Fax

Practice location:
  • Phone: 720-751-0558
  • Fax:
Mailing address:
  • Phone: 720-751-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: NYLAH BASS
Title or Position: OWNER
Credential: NP
Phone: 720-427-0641