Healthcare Provider Details

I. General information

NPI: 1033349675
Provider Name (Legal Business Name): EMILY TREDE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE STE 316
DENVER CO
80209-5032
US

IV. Provider business mailing address

750 POTOMAC ST UNIT 111
AURORA CO
80011-6700
US

V. Phone/Fax

Practice location:
  • Phone: 720-664-8020
  • Fax:
Mailing address:
  • Phone: 303-343-3121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number180601
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5955
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: