Healthcare Provider Details

I. General information

NPI: 1003969734
Provider Name (Legal Business Name): DANIELLE MARIE SANTRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 W COLFAX AVE
LAKEWOOD CO
80215-3733
US

IV. Provider business mailing address

12600 W COLFAX AVE
LAKEWOOD CO
80215-3733
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-1330
  • Fax: 303-647-3647
Mailing address:
  • Phone: 303-993-1330
  • Fax: 303-647-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN 829462, NP 22407
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number126286
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: