Healthcare Provider Details

I. General information

NPI: 1659703528
Provider Name (Legal Business Name): THERESA ANNE BRINTON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 COLE BLVD STE 150
GOLDEN CO
80401-3255
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-716-8027
  • Fax: 303-238-5258
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN001569
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: