Healthcare Provider Details

I. General information

NPI: 1609279421
Provider Name (Legal Business Name): KIMBERLY HUFFMAN APN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 HALE PKWY STE 120
DENVER CO
80220-4050
US

IV. Provider business mailing address

4700 HALE PKWY STE 120
DENVER CO
80220-4050
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-2400
  • Fax: 303-320-2447
Mailing address:
  • Phone: 303-320-2400
  • Fax: 303-320-2447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991401-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: