Healthcare Provider Details

I. General information

NPI: 1235086067
Provider Name (Legal Business Name): MICHAEL CHARLES CUNDIFF APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE STE 305
DENVER CO
80210-5076
US

IV. Provider business mailing address

1551 BLACKSTONE CT
HIGHLANDS RANCH CO
80126-2155
US

V. Phone/Fax

Practice location:
  • Phone: 720-638-7500
  • Fax: 720-812-5134
Mailing address:
  • Phone: 727-408-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberAPN.1001743-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1001743-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: