Healthcare Provider Details

I. General information

NPI: 1336822360
Provider Name (Legal Business Name): ALLISON MARIE BURNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 W 38TH AVE STE 220
DENVER CO
80212-2005
US

IV. Provider business mailing address

2329 S GILPIN ST
DENVER CO
80210-5130
US

V. Phone/Fax

Practice location:
  • Phone: 303-420-1297
  • Fax:
Mailing address:
  • Phone: 678-468-0858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0104856
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: