Healthcare Provider Details

I. General information

NPI: 1902395411
Provider Name (Legal Business Name): MARY SAEED RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 W DRY CREEK CIR
LITTLETON CO
80120-8077
US

IV. Provider business mailing address

9184 IRONWOOD ST
HIGHLANDS RANCH CO
80129-6477
US

V. Phone/Fax

Practice location:
  • Phone: 303-797-6001
  • Fax:
Mailing address:
  • Phone: 303-907-5478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0124080
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: