Healthcare Provider Details

I. General information

NPI: 1043902588
Provider Name (Legal Business Name): COURTNEY STROCKY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4635 W COLFAX AVE UNIT 120
DENVER CO
80204-1295
US

IV. Provider business mailing address

4635 W COLFAX AVE UNIT 120
DENVER CO
80204-1295
US

V. Phone/Fax

Practice location:
  • Phone: 720-394-1364
  • Fax:
Mailing address:
  • Phone: 720-394-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998721-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: