Healthcare Provider Details

I. General information

NPI: 1326064726
Provider Name (Legal Business Name): NASER K KALANI YAZD DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 E EVANS AVE SUITE 102
DENVER CO
80224-2300
US

IV. Provider business mailing address

6850 E EVANS AVE SUITE 102
DENVER CO
80224-2300
US

V. Phone/Fax

Practice location:
  • Phone: 303-691-5009
  • Fax: 303-691-8897
Mailing address:
  • Phone: 303-691-5009
  • Fax: 303-691-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3307
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: