Healthcare Provider Details

I. General information

NPI: 1285923250
Provider Name (Legal Business Name): CLAUDIA DARLENE VAN BUREN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA D SHONYO R.N.

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 E HARVARD AVE STE 400
DENVER CO
80231-5968
US

IV. Provider business mailing address

15494 E GRAND AVE
AURORA CO
80015-1706
US

V. Phone/Fax

Practice location:
  • Phone: 303-614-1400
  • Fax: 303-614-1505
Mailing address:
  • Phone: 303-400-4862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-98796
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: