Healthcare Provider Details

I. General information

NPI: 1891969770
Provider Name (Legal Business Name): FAITH NOVEMBER MCGINN RN, IBCLC, MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7076 S ALTON WAY STE G1
CENTENNIAL CO
80112-2027
US

IV. Provider business mailing address

4021 E GEDDES CIR
CENTENNIAL CO
80122-2282
US

V. Phone/Fax

Practice location:
  • Phone: 720-800-3565
  • Fax: 720-405-4192
Mailing address:
  • Phone: 720-323-9805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-25669
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996623-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: