Healthcare Provider Details

I. General information

NPI: 1710363759
Provider Name (Legal Business Name): CONCEPCION FRANCHESCA NEIL APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14521 AKRON ST
BRIGHTON CO
80602-5692
US

IV. Provider business mailing address

14521 AKRON ST
BRIGHTON CO
80602-5692
US

V. Phone/Fax

Practice location:
  • Phone: 303-884-8058
  • Fax:
Mailing address:
  • Phone: 303-884-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0991880-NP
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: