Healthcare Provider Details

I. General information

NPI: 1992343669
Provider Name (Legal Business Name): LAUREL TRONSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S JACKSON ST STE 240
DENVER CO
80209-3131
US

IV. Provider business mailing address

300 S JACKSON ST STE 240
DENVER CO
80209-3131
US

V. Phone/Fax

Practice location:
  • Phone: 720-724-3668
  • Fax:
Mailing address:
  • Phone: 720-724-3668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0996604-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN60574695
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: