Healthcare Provider Details

I. General information

NPI: 1134911027
Provider Name (Legal Business Name): MARIA SIMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 E 9TH AVE STE 350
DENVER CO
80220-4069
US

IV. Provider business mailing address

4600 E 9TH AVE STE 350
DENVER CO
80220-4069
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-2166
  • Fax: 303-861-7211
Mailing address:
  • Phone: 303-321-2166
  • Fax: 303-861-7211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.1000698-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: