Healthcare Provider Details

I. General information

NPI: 1679337448
Provider Name (Legal Business Name): ANNE ELIZABETH HURSTA MS,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S LOWELL BLVD
DENVER CO
80219-3844
US

IV. Provider business mailing address

9294 W FINLAND DR
LITTLETON CO
80127-8542
US

V. Phone/Fax

Practice location:
  • Phone: 720-424-4308
  • Fax:
Mailing address:
  • Phone: 303-587-1404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number280185
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: