Healthcare Provider Details

I. General information

NPI: 1124407457
Provider Name (Legal Business Name): MARGARET BAST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 110
DENVER CO
80220-4000
US

IV. Provider business mailing address

4900 S MONACO ST SUITE 210 STE 350
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-927-3131
  • Fax:
Mailing address:
  • Phone: 303-331-9121
  • Fax: 303-320-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991693-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: