Healthcare Provider Details

I. General information

NPI: 1376824482
Provider Name (Legal Business Name): DIANE LYNN BELCHER BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 E HARVARD AVE
DENVER CO
80231-5968
US

IV. Provider business mailing address

16 COTTONWOOD LN
GREENWOOD VILLAGE CO
80121-1410
US

V. Phone/Fax

Practice location:
  • Phone: 303-614-1493
  • Fax: 303-614-1505
Mailing address:
  • Phone: 303-789-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number122716
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: