Healthcare Provider Details

I. General information

NPI: 1457660763
Provider Name (Legal Business Name): ELAINE M D'ANGELA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 02/09/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY SUITE 340
DENVER CO
80220-4020
US

IV. Provider business mailing address

4600 HALE PKWY SUITE 340
DENVER CO
80220-4020
US

V. Phone/Fax

Practice location:
  • Phone: 303-280-0900
  • Fax:
Mailing address:
  • Phone: 303-280-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.12358-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0992410-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: