Healthcare Provider Details

I. General information

NPI: 1245181452
Provider Name (Legal Business Name): MEAGAN FEDELE-TOLEMAN APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S BLACKHAWK ST STE 240
AURORA CO
80014-1475
US

IV. Provider business mailing address

1552 S ROUTE 59 # 1120
NAPERVILLE IL
60564-5941
US

V. Phone/Fax

Practice location:
  • Phone: 303-952-8337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1002013-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: