Healthcare Provider Details

I. General information

NPI: 1780337162
Provider Name (Legal Business Name): DANA MEADE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE STE 200
ENGLEWOOD CO
80113-2792
US

IV. Provider business mailing address

499 E HAMPDEN AVE STE 200
ENGLEWOOD CO
80113-2792
US

V. Phone/Fax

Practice location:
  • Phone: 303-226-4648
  • Fax: 303-954-4506
Mailing address:
  • Phone: 303-226-4648
  • Fax: 303-954-4506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0105935-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: