Healthcare Provider Details

I. General information

NPI: 1235603242
Provider Name (Legal Business Name): LADEAN MARSHALL WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7155 E 38TH AVE
DENVER CO
80207-1630
US

IV. Provider business mailing address

9244 E 52ND DR
DENVER CO
80238-3795
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax:
Mailing address:
  • Phone: 720-933-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN.0186756
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN319881
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0994496-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: