Healthcare Provider Details

I. General information

NPI: 1295457240
Provider Name (Legal Business Name): CHRISTINE GUIMARAES LOUREIRO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 BANNOCK ST FL L7
DENVER CO
80204-4506
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4949
  • Fax: 303-602-8277
Mailing address:
  • Phone: 303-436-4949
  • Fax: 303-602-8277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997874-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: