Healthcare Provider Details

I. General information

NPI: 1235504028
Provider Name (Legal Business Name): WHITNEY MORSE ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2015
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

13760 W 67TH CIR
ARVADA CO
80004-2013
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-6611
  • Fax:
Mailing address:
  • Phone: 901-292-8176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0992693-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: