Healthcare Provider Details

I. General information

NPI: 1376967331
Provider Name (Legal Business Name): KIMBERLY EPPERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 FIRESTONE BLVD BLDG B
FIRESTONE CO
80504-6607
US

IV. Provider business mailing address

5965 FIRESTONE BLVD BLDG B
FIRESTONE CO
80504-6607
US

V. Phone/Fax

Practice location:
  • Phone: 720-652-7055
  • Fax: 720-652-7056
Mailing address:
  • Phone: 720-652-7055
  • Fax: 720-652-7056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997354-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1618324
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: