Healthcare Provider Details

I. General information

NPI: 1811384829
Provider Name (Legal Business Name): EMILY AUSTIN NP - C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6895 E HAMPDEN AVE
DENVER CO
80224-3047
US

IV. Provider business mailing address

9195 GRANT ST SUITE 410
THORNTON CO
80229-4385
US

V. Phone/Fax

Practice location:
  • Phone: 303-218-7758
  • Fax:
Mailing address:
  • Phone: 303-280-2229
  • Fax: 303-280-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0991734
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: