Healthcare Provider Details

I. General information

NPI: 1629517172
Provider Name (Legal Business Name): MICHELLE CHRISTINE URIBE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 W YALE AVE STE B100
DENVER CO
80227-3460
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-935-4689
  • Fax: 303-430-5565
Mailing address:
  • Phone: 303-763-4900
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992993-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: