Healthcare Provider Details

I. General information

NPI: 1295660934
Provider Name (Legal Business Name): ZEPOL ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 E JEWELL AVE STE 600
DENVER CO
80222-4510
US

IV. Provider business mailing address

9725 E HAMPDEN AVE STE 308
DENVER CO
80231-4919
US

V. Phone/Fax

Practice location:
  • Phone: 720-640-1080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CANDICE UTUSH
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 800-713-9150