Healthcare Provider Details

I. General information

NPI: 1902859432
Provider Name (Legal Business Name): CYNTHIA ZIPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E 56TH AVE SUITE 100
DENVER CO
80216-1766
US

IV. Provider business mailing address

181 E 56TH AVE SUITE 100
DENVER CO
80216-1766
US

V. Phone/Fax

Practice location:
  • Phone: 303-295-8713
  • Fax: 303-298-1862
Mailing address:
  • Phone: 303-295-8713
  • Fax: 303-298-1862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number315752
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: