Healthcare Provider Details

I. General information

NPI: 1205798097
Provider Name (Legal Business Name): ANNE CATHERINE UNDERWOOD MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 NEWTON ST
DENVER CO
80204-3033
US

IV. Provider business mailing address

932 NEWTON ST
DENVER CO
80204-3033
US

V. Phone/Fax

Practice location:
  • Phone: 206-707-2158
  • Fax:
Mailing address:
  • Phone: 206-707-2158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1703297
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: