Healthcare Provider Details

I. General information

NPI: 1225684129
Provider Name (Legal Business Name): KRISTEN DEMARIA ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE STE 360
ENGLEWOOD CO
80113-3877
US

IV. Provider business mailing address

PO BOX 17528
DENVER CO
80217-0528
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-4485
  • Fax: 720-274-0064
Mailing address:
  • Phone: 405-682-3303
  • Fax: 405-384-6793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0994602-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0994602-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: