Healthcare Provider Details

I. General information

NPI: 1396600060
Provider Name (Legal Business Name): NAPASSAKORN S AAMODT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 TIOGA TRL
FLORISSANT CO
80816-8853
US

IV. Provider business mailing address

65 TIOGA TRL
FLORISSANT CO
80816-8853
US

V. Phone/Fax

Practice location:
  • Phone: 719-314-5608
  • Fax: 719-314-5608
Mailing address:
  • Phone: 719-314-5608
  • Fax: 719-314-5608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: