Healthcare Provider Details

I. General information

NPI: 1356437974
Provider Name (Legal Business Name): AMY LYNN GUCCIONE RN, MS, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 S KIPLING ST
LAKEWOOD CO
80226-1086
US

IV. Provider business mailing address

88 PALOMA AVE
BRIGHTON CO
80601-8791
US

V. Phone/Fax

Practice location:
  • Phone: 303-239-7003
  • Fax: 303-239-7088
Mailing address:
  • Phone: 720-685-0898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number119011
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number119011
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: