Healthcare Provider Details

I. General information

NPI: 1205911310
Provider Name (Legal Business Name): DEBORAH ANN COLLINS RN PNP AND PHMNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DEBORAH ANN WELSH

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14301 E HAMPDEN AVE
AURORA CO
80014-3902
US

IV. Provider business mailing address

5488 E BRIARWOOD CIR
CENTENNIAL CO
80122-2318
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2488
  • Fax:
Mailing address:
  • Phone: 303-506-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number81601
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: