Healthcare Provider Details

I. General information

NPI: 1376921940
Provider Name (Legal Business Name): DANIEL BURHANS PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 BASELINE RD STE 200
BOULDER CO
80303-2668
US

IV. Provider business mailing address

8354 E NORTHFIELD BLVD
DENVER CO
80238-3131
US

V. Phone/Fax

Practice location:
  • Phone: 720-547-2402
  • Fax:
Mailing address:
  • Phone: 720-547-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0999860-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0203070
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: