Healthcare Provider Details

I. General information

NPI: 1508718149
Provider Name (Legal Business Name): ROCKY MOUNTAIN PLANNED PARENTHOOD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2525 ARAPAHOE AVE STE 200
BOULDER CO
80302-6720
US

IV. Provider business mailing address

2525 ARAPAHOE AVE STE 200
BOULDER CO
80302-6720
US

V. Phone/Fax

Practice location:
  • Phone: 303-447-1040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARISSA HERRERA
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 505-944-2021