Healthcare Provider Details

I. General information

NPI: 1760275069
Provider Name (Legal Business Name): ASHEREANN CHARLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 N SHERMAN ST STE 200
DENVER CO
80203-1132
US

IV. Provider business mailing address

8505 E ALAMEDA AVE UNIT 2911
DENVER CO
80230-6067
US

V. Phone/Fax

Practice location:
  • Phone: 720-475-0954
  • Fax:
Mailing address:
  • Phone: 720-475-0954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: