Healthcare Provider Details

I. General information

NPI: 1871342741
Provider Name (Legal Business Name): RIANNA PUNTURIERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 11TH AVE
EVANS CO
80620-1011
US

IV. Provider business mailing address

8401 S CHAMBERS RD
ENGLEWOOD CO
80112-3276
US

V. Phone/Fax

Practice location:
  • Phone: 970-353-9403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009616
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: