Healthcare Provider Details

I. General information

NPI: 1558735696
Provider Name (Legal Business Name): SILVER LINING ADVANCED LIFE PLANNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2015
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N LINDEN ST STE E
CORTEZ CO
81321-2700
US

IV. Provider business mailing address

215 N LINDEN ST STE E
CORTEZ CO
81321-2700
US

V. Phone/Fax

Practice location:
  • Phone: 970-565-4161
  • Fax: 866-749-0163
Mailing address:
  • Phone: 970-565-4161
  • Fax: 866-749-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN-0990364-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberFNP990365
License Number StateCO

VIII. Authorized Official

Name: SANDRA MCGUIRE
Title or Position: OWNER
Credential: CNP-C
Phone: 970-565-4161