Healthcare Provider Details

I. General information

NPI: 1083865679
Provider Name (Legal Business Name): MAUREEN DORAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S GARFIELD ST
DENVER CO
80209-5006
US

IV. Provider business mailing address

900 S GARFIELD ST
DENVER CO
80209-5006
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-3086
  • Fax: 303-744-3086
Mailing address:
  • Phone:
  • Fax: 303-744-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number52266
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: