Healthcare Provider Details

I. General information

NPI: 1215334974
Provider Name (Legal Business Name): ANNA HRISTOVA MSN, APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 SHEA CENTER DR FL 4
HIGHLANDS RANCH CO
80129-1537
US

IV. Provider business mailing address

1745 SHEA CENTER DR STE 400
HIGHLANDS RANCH CO
80129-1540
US

V. Phone/Fax

Practice location:
  • Phone: 615-880-8553
  • Fax: 615-570-0392
Mailing address:
  • Phone: 615-880-8553
  • Fax: 615-570-0392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28192675A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1114043
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26952
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0110928
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: