Healthcare Provider Details

I. General information

NPI: 1275342248
Provider Name (Legal Business Name): DIALA YEHIA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIALA YEHIA

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 PRAIRIE CENTER PKWY STE 140
BRIGHTON CO
80601-4004
US

IV. Provider business mailing address

1606 PRAIRIE CENTER PKWY STE 140
BRIGHTON CO
80601-4004
US

V. Phone/Fax

Practice location:
  • Phone: 303-498-3030
  • Fax:
Mailing address:
  • Phone: 303-498-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002485-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: