Healthcare Provider Details

I. General information

NPI: 1992115596
Provider Name (Legal Business Name): MAUREEN DAIGLER-KLUGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 06/11/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4384 S FEDERAL BLVD STE 1
ENGLEWOOD CO
80110-5311
US

IV. Provider business mailing address

4384 S FEDERAL BLVD STE 1
ENGLEWOOD CO
80110-5311
US

V. Phone/Fax

Practice location:
  • Phone: 720-853-4230
  • Fax: 585-723-6705
Mailing address:
  • Phone: 720-853-4230
  • Fax: 585-723-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0999350
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: