Healthcare Provider Details

I. General information

NPI: 1912811423
Provider Name (Legal Business Name): MARIA C EDWINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7258 S SHENANDOAH DR
ELIZABETH CO
80107-9392
US

IV. Provider business mailing address

7258 S SHENANDOAH DR
ELIZABETH CO
80107-9392
US

V. Phone/Fax

Practice location:
  • Phone: 303-434-8858
  • Fax:
Mailing address:
  • Phone: 303-434-8858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRTL.0005088
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: