Healthcare Provider Details

I. General information

NPI: 1689036998
Provider Name (Legal Business Name): EMMA JEAN MAKI-GIANANI R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1648 GAYLORD ST
DENVER CO
80206-1239
US

IV. Provider business mailing address

3738 W PRINCETON CIR
DENVER CO
80236-3110
US

V. Phone/Fax

Practice location:
  • Phone: 303-336-1652
  • Fax: 303-333-4283
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACC.0004123
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number0191832
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.0191832
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN.0191832
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: