Healthcare Provider Details

I. General information

NPI: 1497384564
Provider Name (Legal Business Name): COLLEEN MARIE MARKHAM FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 INVERNESS DR W STE 400
ENGLEWOOD CO
80112-5072
US

IV. Provider business mailing address

6916 HUNTER PL
BOULDER CO
80301-3613
US

V. Phone/Fax

Practice location:
  • Phone: 866-686-2504
  • Fax:
Mailing address:
  • Phone: 925-878-8395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995437-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: