Healthcare Provider Details

I. General information

NPI: 1649650284
Provider Name (Legal Business Name): LAUREN STAPLES NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 S PARKER RD STE 100
DENVER CO
80231-2177
US

IV. Provider business mailing address

8670 WOLFF CT STE 270
WESTMINSTER CO
80031-6956
US

V. Phone/Fax

Practice location:
  • Phone: 844-455-2747
  • Fax:
Mailing address:
  • Phone: 719-494-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number08163
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0004432-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: