Healthcare Provider Details

I. General information

NPI: 1861339293
Provider Name (Legal Business Name): JOHN SEARCEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GRANBY PARK DR S
GRANBY CO
80446-5304
US

IV. Provider business mailing address

34 COUNTY ROAD 640 LOT 43
GRANBY CO
80446-8826
US

V. Phone/Fax

Practice location:
  • Phone: 970-887-5810
  • Fax:
Mailing address:
  • Phone: 970-887-5810
  • Fax: 970-887-5898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0180824
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: