Healthcare Provider Details

I. General information

NPI: 1487593372
Provider Name (Legal Business Name): AMANDA M MILLS RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

PO BOX 71
KEENESBURG CO
80643-0071
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-6000
  • Fax: 303-436-6000
Mailing address:
  • Phone: 303-436-6000
  • Fax: 303-436-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberDH.002025772
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: