Healthcare Provider Details

I. General information

NPI: 1518375823
Provider Name (Legal Business Name): ALISON MARIE DONOVAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 E MISSISSIPPI AVE STE 110
GLENDALE CO
80246-3051
US

IV. Provider business mailing address

4100 E MISSISSIPPI AVE STE 110
GLENDALE CO
80246-3051
US

V. Phone/Fax

Practice location:
  • Phone: 303-552-9522
  • Fax: 415-252-7176
Mailing address:
  • Phone: 303-552-9522
  • Fax: 415-252-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704278987
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0999158-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: