Healthcare Provider Details

I. General information

NPI: 1881054013
Provider Name (Legal Business Name): YUKI ASAKURA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 SPEER BLVD
DENVER CO
80204-2508
US

IV. Provider business mailing address

1391 SPEER BLVD STE 600
DENVER CO
80204-2554
US

V. Phone/Fax

Practice location:
  • Phone: 303-561-5010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPN:0005924-CNS
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0005924-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: