Healthcare Provider Details

I. General information

NPI: 1700781887
Provider Name (Legal Business Name): NATHANS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 W 17TH AVE
DENVER CO
80204-1610
US

IV. Provider business mailing address

3445 W 17TH AVE
DENVER CO
80204-1610
US

V. Phone/Fax

Practice location:
  • Phone: 619-517-0303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: NATHAN NGUSE ABRHA
Title or Position: MANAGER
Credential:
Phone: 619-517-0303