Healthcare Provider Details

I. General information

NPI: 1841748910
Provider Name (Legal Business Name): ALISON PERCOWYCZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON FURTON NP

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 10/23/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FEDERAL BLVD STE 227
DENVER CO
80211
US

IV. Provider business mailing address

6834 S UNIVERSITY BLVD STE 124
CENTENNIAL CO
80122
US

V. Phone/Fax

Practice location:
  • Phone: 720-724-7950
  • Fax: 704-800-8192
Mailing address:
  • Phone: 720-724-7950
  • Fax: 704-800-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1629016
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0992519-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0992519-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: