Healthcare Provider Details

I. General information

NPI: 1033739818
Provider Name (Legal Business Name): ARGELIA ARCHULETTA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 08/27/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 N CLARK ST
DENVER CO
80218-3764
US

IV. Provider business mailing address

10506 FALL CREEK CT
COLORADO SPRINGS CO
80924-4519
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-5488
  • Fax: 720-815-0378
Mailing address:
  • Phone: 719-281-8441
  • Fax: 618-822-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0995447
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: